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Paravertebral nerve blocks for analgesia after cardiac surgery

Completed
Conditions
Postoperative pain
Signs and Symptoms
Registration Number
ISRCTN13424423
Lead Sponsor
Imperial College Healthcare
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
50
Inclusion Criteria

1. Age 40-70 years
2. Undergoing elective and urgent first time coronary bypass surgery

Exclusion Criteria

1. Critical preoperative state
2. Single graft surgery (no leg incision)
3. Minimally invasive surgery (no sternotomy)
4. Significant renal disease (baseline creatinine >150 micromolar: morphine contraindicated)
5. Patients exceeding 110kg (4% of our operative population practical difficulties of positioning unconscious patients to place the block)
6. Pregnancy
7. Patients with chronic pain taking regular analgesic medication
8. Patients with a significant abnormality of coagulation
9. Participation in another interventional study
10. Patients unable to give informed consent
11. Hypersensitivity to lidocaine

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Morphine consumption using a PCA device
Secondary Outcome Measures
NameTimeMethod
1. Pain (measured using ordinal scale) and respiratory function (PEFR) for first 7 days<br>2. Quality of life, measured using the EuroQol EQ-5D questionnaire at 3 months
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