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