Ultrasound Guided Pectointercostal Fascial Plane Block Versus Transversus Thoracic Plane Block In Adult Cardiac Surgery Patients: A Comparative Study
试验速览
- 阶段
- 不适用
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- the analgesic effectiveness of the two blocks on midline sternotomy pain,
研究概览
简要总结
The study will be designed to compare the analgesic effect of ultrasound-guided pectointercostal fascial plane block versus tansversus thoracic plane block in adult cardiac surgery.
详细描述
A prospective study will be carried out in Alexandria Main University Hospitals on 60 adult patients planned for elective cardiac surgery, after approval of the Ethical Committee of Faculty of Medicine, Alexandria, and having an informed written consent taken from patients included in the study. Patients will be categorized into two equal groups; group P (n=30)) will receive ultrasound-guided pectointercostal fascial plane block and group T (n=30) will receive ultrasound-guided transversus thoracic plane block.
All patients will receive the ultrasound-guided block after induction of anesthesia and an equal booster dose of the same block before extubation in the ICU. Patients in both groups will also receive an ultrasound-guided bilateral serratus anterior plane block before extubation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Quadruple (Participant, 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
- •Adult patient.
- •Elective cardiac surgery.
排除标准
- •Refusal to participate.
- •Redo or urgent cardiac surgery.
- •Local infection of the skin at the site of needle puncture.
- •Allergy to bupivacaine.
- •Coagulation disorders.
- •Clinically significant liver or kidney disease, heart failure, moderate to severe pulmonary hypertension.
- •when extubation is intentionally planned to be delayed
结局指标
主要结局
the analgesic effectiveness of the two blocks on midline sternotomy pain,
时间窗: from end of surgery till discharge from ICU (96 hours)
Postoperative pain evaluation after extubation will be done using the Visual Analogue Scale (VAS). a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between 0 "no pain" and 10 "worst pain."
次要结局
- length of stay in ICU(average 4 days)
- pulmonary complications(from end of surgery till discharge from ICU (96 hours))