Efficacy of Ultrasound-Guided Pecto-Intercostal Fascial Block Versus Transversus Thoracic Muscle Plane Block for Postoperative Analgesia in Cardiac Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pecto-Intercostal Fascial Block
- Sponsor
- Tanta University
- Enrollment
- 90
- Locations
- 1
- Primary Endpoint
- Post-operative pain score
- Last Updated
- 4 years ago
Overview
Brief Summary
The aim of this study is to compare the effect of Ultrasound-Guided Pecto-Intercostal Fascial Block versus Transversus Thoracis Muscle Plane Block on Postoperative Pain Analgesia in Cardiac Surgery
Detailed Description
Perioperative pain management is an essential component of the enhanced recovery pathway in patients undergoing cardiac surgery. The incidence of severe acute postoperative pain after median sternotomy is as high as 49%.
Investigators
Abdullah Nabeih Abdullah Eloraby
Assistant lecturer of Anesthesiology and Surgical Intensive Care and Pain Medicine
Tanta University
Eligibility Criteria
Inclusion Criteria
- •90 adult patients of both sexes aged (21-60) scheduled for cardio-pulmonary bypass cardiac surgery (valve replacement) with midline sternotomy
Exclusion Criteria
- •Patients' refusal.
- •Cognitive impairment.
- •History of drug abuse\& chronic analgesic use
- •History of allergy to local anesthetics.
- •Emergency surgery
- •Pre-existing major organ dysfunction including hepatic or renal failure, pulmonary insufficiency and left ventricular ejection fraction \< 30%
- •Known coagulopathy
Outcomes
Primary Outcomes
Post-operative pain score
Time Frame: 24 hours postoperative
After extubation, patients will be evaluated for pain using numeric rating scale (NRS) score at 0,3,6,12,24 h for pain that ranged from (0 = no pain) to (10 = the worst imaginable pain). If score is ≥ 4, rescue analgesia will be given in the form of fentanyl in a dose of 0.5µg/kg by iv route.
Secondary Outcomes
- Total opioid consumption in first 24 hours after cardiac surgery(24 hours Postoperative)
- duration of mechanical ventilation(24 hours Postoperative)
- Incidence of complications(24 hours Postoperative)