The efficacy of ultrasound guided pecto intercostal fascial block in attenuating haemodynamic response to sternotomy in adult patients undergoing cardiac surgeries:A prospective randomized double blind controlled trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 60
- 试验地点
- 1
研究概览
简要总结
Median sternotomy involves a surgical incision made onto the chest wall causing major haemodynamic changes mostly noted within 10 minutes after surgical incision.Traditionally intravenous opioids alone or in combination with other sedatives are used preemptively to attenuate this haemodynamic response and for postoperative pain management,but these are associated with potential side effects.In recent times,Parasternal blocks(Pectointercostal fascial block,transverse thoracic plane block)are commonly used for postoperative pain management following median sternotomy.There is limited data available on attenuation of haemodynamic response to median sternotomy by parasternal block in open heart surgery.Hence,the present study is designed to investigate the effect of Pecto intercostal fascial block on the attenuation of haemodynamic response to sternotomy in cardiac surgery involving median sternotomy
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant, Investigator and Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients undergoing elective open heart surgery via median sternotomy.
排除标准
- •Inability to provide informed consent
- •Patients with urgent or emergency procedures
- •Allergy to amide type anaesthetics
- •Patients with preoperative inotropic or vasoactive drug support
- •Redo surgery
- •History of thoracotomy or mastectomy
- •Patients with a history of chronic pain or on chronic opioids or sedatives
- •Renal failure with estimated glomerular filtration rate<30mL/min (Cockcroft-Gault formula)
- •chronic liver or kidney disease
- •Patients with coagulopathies
- •Pregnanant and lactating women.
研究者
Chukkaluru Sumadhu
Sri Venkateswara Institute of Medical Sciences