Comparative Study: Erector Spinae Plane Block Versus Paravertebral Plane Block Regarding Their Effect on Peri-operative Opioid Consumption in Patients Undergoing Minimally Invasive Mitral Valve Replacement .
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Postoperative opioid consumption
研究概览
简要总结
In recent years , the popularity of ultrasound-guided fascial plane blocks has increased in achieving an effective postoperative analgesia and hence achieving enhanced recovery after surgery (ERAS) .
Mastering the use of ultrasound encourages anesthetists on the frequent use of regional anesthesia . Fascial plane blocks are increasingly becoming a part of multimodal analgesia as an alternative pain management strategy in cardiac surgery. Various regional techniques especially paravertebral plane blocks have been recently described to reduce the postoperative pain in cardiac surgery with enhanced recovery . Ultrasound-guided erector spinae plane block is a recently introduced technique for regional analgesia in thoracic neuropathic pain, rib fractures, and breast surgeries. This study aims to compare between the two techniques regarding their peri-operative analgesic effect and their impact on enhanced recovery after surgery.
详细描述
This study aims to compare between the effectiveness of Erector spinae plane block and thoracic paravertebral plane block in reducing the perioperative need of opioids in patients undergoing minimally invasive mitral valve replacement as part of ERAS.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Triple (Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with American Society of Anesthesiologists (ASA) score III.
- •Patients aged ≥ 18 years old.
- •Patients scheduled for minimally invasive mitral valve replacement through a right mini thoracotomy.
排除标准
- •Patients refusing to be involved in this study.
- •Patients with ASA score > III.
- •Patients aged < 18 years.
- •Patients with local infection at the site of needle puncture.
- •Patients with known hypersensitivity to local anesthetic (LA).
- •Patients with hepatic or renal impairment.
研究组 & 干预措施
Erector spinae group
Patients will receive erector spinae plane block after general anaesthesia .
干预措施: Thoracic erector spinae plane block (Procedure)
Paravertebral block group
Patients will receive paravertebral plane block after general anaesthesia .
干预措施: Thoracic paravertebral plane block (Procedure)
结局指标
主要结局
Postoperative opioid consumption
时间窗: For 24 hours after extubation
morphine in milligram postoperatively
intraoperative opioid consumption
时间窗: Through intraoperative period, average of 6 hours
Fentanyl in micrograms intraoperatively
次要结局
- Time for extubation(24 hours postoperative)
- Length of ICU stay(Through patient's stay inicu till discharge to ward, average of 3 days)
- Postoperative respiratory depression(24 hours after extubation)
- Time for ambulation(Through the stay of the patient in ICU postoperatively, average of 2 days.)