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To compare the effect of two pain control techniques for patients after heart surgery

Not Applicable
Completed
Conditions
Health Condition 1: O- Medical and Surgical
Registration Number
CTRI/2022/04/042171
Lead Sponsor
All India Institute Of Medical Sciences Jodhpur
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
102
Inclusion Criteria

1. Patient belonging to ASA - PS 2 , 3 or 4

2. Patient posted for elective cardiac valve replacement or repair surgery / ASD / VSD closure cases with midline sternotomy

Exclusion Criteria

1.Patient who refuse to participate in the study

2.Patient posted for emergency Surgery

3.Patient with allergy to study drugs

4.Patient with cognitive deficits making them inefficient to use IV PCA pump

5.Patient with any contraindications for spinal and fascial plane block

6.Patient with LVEF < 40%

7.Patient with preoperative cardiac support (IV inotropes and/or vasoconstrictors)

8.Patient withMorbid obesity (body mass index greater than 35 kg/m2)

9.Patient with liver and renal dysfunction

10.Patient of opium addict

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To compare postoperative fentanyl consumption by patientTimepoint: First 24 hrs after surgery
Secondary Outcome Measures
NameTimeMethod
To compare pre and postoperative pulmonary function (FVC, FEV1 & the FEV1/FVC ratio) in both group <br/ ><br>To compare postoperative Visual Analog Scale (VAS) pain score at rest and on cough during first 24 hours (2, 6, 12 and 24 h in intensive care unit) (desirable VAS 4) <br/ ><br>To compare the Time to extubation in both the groups. <br/ ><br>To compare patient satisfaction score.  <br/ ><br>To compare the Adverse effects of both the techniquesTimepoint: FIRST 24 HOURS OF POSTOPERATIVE PERIOD
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