Preoperative Stellate Ganglion Block Can Cause Enhanced Recovery After Coronary Arteries Bypass Grafting Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Ischemic Heart Disease
- Sponsor
- wail abdelaal
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- change in cardiac rhythm
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
The effects of SGB on the cardiovascular system remain controversial since the cardiac sympathetic nerves pass through the stellate ganglion. SGB is expected to have an ameliorative effect on impaired coronary circulation and cardiac function and thus to be well suited to the treatment of angina pectoris and myocardial infarction
Detailed Description
investigators chose left SGB being safer with regards conductivity changes when compared to right SGB, in the present study investigators are trying to examine and compare whether coronary reperfusion in patients undergoing coronary artery bypass grafting who were subject to ultrasound guided left Stellate ganglion block (SGB ) performed in the induction of anesthesia could decrease post cardiopulmonary bypass ischemic changes, pulmonary hypertension and right ventricular dysfunction leading to enhanced recovery. Place of work: Ain shams university hospitals cardiovascular surgery academy, Cairo, Egypt. Number and selection of participants: 40 participants, 20 in each group (2 groups).
Investigators
wail abdelaal
assistant professor of anesthesia
Ain Shams University
Eligibility Criteria
Inclusion Criteria
- •Ischemic heart disease patients age above 18 years
Exclusion Criteria
- •allergy to LA, severe COPD
Outcomes
Primary Outcomes
change in cardiac rhythm
Time Frame: change in cardiac rhythm from base line
incidence of AF or VF(BPM)
change in Ejection Fraction
Time Frame: change in Ejection Fraction from base line
Ejection Fraction(%)
change in heart rate
Time Frame: change in heart rate from base line
heart rate( bpm )
change in blood pressure
Time Frame: change in blood pressure from base line
MAP, Systemic arterial pressure ( mmHg )
Secondary Outcomes
- effect of preoperative stellate ganglion block on enhanced recovery after coronary arteries bypass grafting surgery(change of troponin level from base line)