Influence of Superficial Parasternal Intercostal Plane Block on Internal Thoracic Artery Caliber to Facilitate Surgical Harvesting in CABG
试验速览
- 阶段
- 3 期
- 状态
- 尚未招募
- 入组人数
- 50
- 试验地点
- 1
研究概览
简要总结
Influence of Superficial Parasternal Intercostal Plane Block (SPIPB) on Internal Thoracic Artery (ITA) Caliber and Surgical Harvesting Efficiency in Coronary Artery Bypass Grafting (CABG)
详细描述
Parasternal intercostal blocks (PSB) represent a newer approach to post-sternotomy pain management. Studies suggest their effectiveness in providing postoperative analgesia , with a significant advantage being their suitability even during concurrent antiplatelet or anticoagulant therapy.In addition to its sympatholytic effects cause vasodilatation , a reduction in vascular resistance, and an increase in local blood flow . The effects are maintained up to the early postoperative period .
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 22 Years 至 65 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •• Age group: Adult patients from age of 22 to 65 years.
- •Sex: Both sexes
- •Patients undergoing CABG with IMA harvesting
排除标准
- •• Patients with pre-existing active bloodstream infection or systemic infection
- •Refuse consent
- •IMA graft not suitable
- •Morbidly obese (BMI > 40 )
- •Hemodynamic instability
- •Severe pulmonary disease
- •Previous thoracic surgeries (makes it difficult to harvest IMA)
- •Advanced malignancy or chronic disease with life expectancy less than six months
- •Emergency surgery
研究者
sarah hamdy
Lectuer of Anaethesia and intensive care
Ain Shams University
