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A newer technique Pectoral Nerve (Pecs) block for Cardiac Implantable Electrical Devices (CIED) implantation in cardiac patients.

Not Applicable
Completed
Conditions
Health Condition 1: I429- Cardiomyopathy, unspecified
Registration Number
CTRI/2019/01/017008
Lead Sponsor
Department of Cardiac Anesthesia
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
62
Inclusion Criteria

(a) All patients 18-70 years of age who require CIED implantation or replacement.

(b) Patients with prior MI occurring at least 40 days earlier and who have NYHA functional class II or III disease and require a CIED implantation.

( c) Patients with non-ischemic dilated cardiomyopathy and NYHA functional class II or III disease and require a CIED implantation.

(d) Patients with second or third degree block who require CIED implantation.

Exclusion Criteria

Patients whose reasonable life expectancy at an acceptable functional status is <1 year.

Patients who are on dual antiplatelet therapy

Patients having infected implant or infection at the site of CIED implantation.

Patients with deranged coagulation profile (Platelet count < 100�³103 / �µL, PT, aPTT more than 1.5 times of normal value and INR > 1.5.

Patients not giving consent for the block.

Patients allergic to ropivacaine.

Pregnant patients.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To evaluate the requirement of ad on analgesia during the procedure and pain assessment with duration of analgesia after Pecs block for Cardiac Implantable Electronic Device (CIED) implantation.Timepoint: pain assessment is done by Visual analog scale at 2, 4, 10, 16, 20, 24 hours after surgery. add on analgesic requirement will be evaluated during the CIED implantation procedure which will be approximately 2 hours duration.
Secondary Outcome Measures
NameTimeMethod
To compare requirement of 1st dose of rescue analgesia time in the post-procedural period, total iv analgesic requirement, duration of Cardiac Care Unit (CCU) stay, patient satisfaction and any side effect or complication associated with procedures or drug used for analgesia.Timepoint: Up to 24 hours after the procedure or CCU stay whichever is more.
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