“Efficacy of Ultrasound-Guided Pecto-Intercostal Fascial Block Combined with Rectus Sheath Block on Opioid Consumption in Patients Undergoing Cardiac Surgery: A Double-Blind Randomized Controlled Study”
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 88
- 试验地点
- 1
研究概览
简要总结
This double-blind randomized controlled trial evaluates the effect of ultrasound-guided pecto-intercostal fascial block combined with rectus sheath block on perioperative opioid consumption in adult patients undergoing elective cardiac surgery via median sternotomy. Participants will receive either the regional blocks with standard analgesia or standard analgesia alone. Total opioid consumption within 24 hours postoperatively will be assessed.
There is limited evidence assessing the combined use of these two blocks as a pre-emptive analgesic in alleviating perioperative sternotomy pain, opioid consumption, role in facilitating early tracheal extubation and improving overall recovery outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant and Investigator Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 70.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients aged 18 to 70 years planned for elective cardiac surgery on cardiopulmonary bypass(CPB) through median sternotomy .
排除标准
- •1.Hemodynamically unstable patients, Patients on intra arterial balloon pump(IABP) , preoperative inotropic support, Severe left ventricular dysfunction 2.Minimally invasive cardiac procedures 3.Patient requiring emergency surgery and redo cardiac surgery.
- •4.Patients with coexisting hepatic, renal or severe respiratory disease, diabetes milletus, morbid obesity , hematological disorders, psychiatric illness, cognitive impairement, alcohol and opioid abuse, pregnancy and chronic pain of non cardiac causes 5.Hypersensitivity reaction to the amide group of anesthetics and patients unwilling to be part of the study.
研究者
Dr Sharan V
Govind Ballabh Pant Institute of Post Graduate Medical Education and Research