The Effect of Combined Ultrasound-Guided Transverse Thoracic Muscle Plane Block and Rectus Sheath Plane Block on the Peri-operative Consumption of Opioids in Open Heart Surgeries with Median Sternotomy

Faculty of Medicine Ain Shams University0 个研究点目标入组 50 人开始时间: 2022年3月19日最近更新: 2023年5月29日

适应症

试验速览

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•1. Patients with American Society of Anesthesiologists (ASA) score III – IV.
•2. Patients from both sexes.
•3. Patients aged = 18 years old.
•4. Patients scheduled for certain cardiac surgery with median sternotomy including valve(s) replacement/repair, surgical repair for ascending aorta, closure of congenital Atrial Septal Defect (ASD), and coronary artery bypass grafting (CABG) surgery using a NON Internal Thoracic Arterial graft.

•1. Patients refusing to be involved in this study.
•2. Patients with ASA score > IV.
•3. Patients aged < 18 years.
•4. Patients scheduled for an expected CABG surgery using the Internal Thoracic Artery.
•5. Patients scheduled for pericardial effusion drainage, surgical debridement or re-wiring the sternal bone.
•6. Patients scheduled for urgent cardiac surgery.
•7. Patients with local infection at the site of needle puncture.
•8. Patients with known hypersensitivity to local anesthetic (LA).
•9. Patients with possible development of LA toxicity (i.e. decompensated hepatic patients).
•10. Patients hardly to be candidates for Fast Tract Extubation in ICU such as:
•- Patients on high doses of inotropes and/or vasopressors.
•- Patients with high drain(s) in the first 6 hours post-operatively.
•- Patients who needed an intra-aortic balloon pump (IABP) post- CardioPulmonary Bypass (CPB).
•- Patients who needed a cardiac temporary pacing.
•- Patients with delayed recovery (= 6 hours post-operative) in the ICU due to hypotension, stroke, brain edema, hypothermia, acidosis... etc.

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