Effect of Pectointercostal+ESP Block on Postoperatif Analgesia in Open Heart Surgery

Last updated: April 26, 2023
Sponsor: Cukurova University
Overall Status: Active - Recruiting

Phase

4

Condition

Chronic Pain

Acute Pain

Post-surgical Pain

Treatment

N/A

Clinical Study ID

NCT05590013
Pectointercostal and ESP block
  • Ages 18-65
  • All Genders

Study Summary

American Society of Anaesthesiologist physical status II-III, aged between 18-65, 60 patients which underwent open cardiac surgery will recruited to this study. These subjects will Ultrasound (USG) guided erector spinae block will perform at T6 level (bilaterally) and pectointercostal plane block at 4-5 intercostal space to the all patient under general anaesthesia. Totally bupivacaine %0.25 2.5 mg/kg will use blocks and 1 ml epinephrin will add to the each local anesthetic solutions. 10 ml %0.25 bupivacain will apply to the chest tube area at the end of surgery. 0.1 microgram/kg morphine will apply intravenously at last 30 minutes of surgery postoperative analgesia to all patients. Postoperative pain assessment will perform with visual analog scale (VAS)

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • ASA II-III patients
  • The patients who will operate for open heart surgery

Exclusion

Exclusion Criteria:

  • The patients with Coagulopaty
  • Allergy with local anesthetics
  • infection at the injection sites
  • Obesity (BMI >35kg/m2)
  • Liver and/or kidney failure

Study Design

Total Participants: 60
Study Start date:
November 15, 2022
Estimated Completion Date:
August 15, 2023

Study Description

American Society of Anaesthesiologist physical status II-III, aged between 18-65, 60 patients which underwent open cardiac surgery will recruited to this study. The patients were randomly allocated into two groups (1:1), via a computer-generated randomization list. Ultrasound (USG) guided erector spinae block will perform at T6 level (bilaterally) and pectointercostal plane block at 4-5 intercostal space to the 30 patients under general anaesthesia in Group block and block will not perform to the control group. Sevoflurane+remifentanil and O2/air combination will perform to the all patients during the surgery. Totally bupivacaine %0.25 2.5 mg/kg will use for blocks and 1 ml epinephrin will add to the each local anesthetic solutions in each side.10 ml %0.25 bupivacain will apply to the chest tube area at the end of surgery. 0.1 microgram/kg morphine intravenously will apply for postoperative analgesia to the all patients at last 30 minutes of surgery. Postoperative pain assessment will perform with visual analog scale (VAS). VAS, morphine consumption and complications will record.Paracetamol 10 mg/kg will repeat to the all patients at the 12th of postoperative period, intravenously. The patient controlled anesthesia with morphin will apply to the all patients. If the VAS score is higher than 4, the rescue analgesic diclofenac Na 75 mg will administer intravenously.

Connect with a study center

  • Cukurova University

    Adana, 01380
    Turkey

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.