Comparing Different Regional Blocks for Analgesia After Off-pump Cardiac Surgery

Abd-Elazeem Abd-Elhameed Elbakry

Status: Active, not recruiting

Conditions: Analgesia

Treatments: Other: Superficial Parasternal Intercostal Plane Block combined with Rectus Sheath Block; Other: Erector Spinae Plane Block

Study type: Interventional

Funder types: Other

Identifiers

NCT05763810

2/2023 ANET 15-3

Details and patient eligibility

About

This study aims to compare the analgesic effects of erector spinae plane block versus Superficial Parasternal Intercostal Plane Block block along with rectus sheath block after off-pump cardiac surgery

Full description

General anaesthesia will be used for all patients. induction by midazolam 0.05-0.1 mg/kg, fentanyl 2-5 µ/kg, propofol 1-2 mg/kg, and atracurium 0.5 mg/kg for intubation. Maintenance by sevoflurane in oxygen-air mixture. regional blocks will be used after the induction of anaesthesia. Intraoperative analgesia will be maintained by fentanyl infusion 1-2 µ/kg/h while morphine sulphate 2.5-5mg will be used as rescue analgesia when pain score>4 beside acetaminophen 1000 mg /6 hours

Enrollment: 22 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of anaesthesiologists physical status classification II-III
• Elective off-pump cardiac surgery

Exclusion criteria

• Cognitive impairment
• Allergy to local anaesthetics
• Renal and/or hepatic dysfunction
• Ejection fraction< 45%

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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22 participants in 2 patient groups

Erector Spinae Plane Block group

Other group

Description:

Erector Spinae Plane Block

Treatment:

Other: Erector Spinae Plane Block

Superficial Parasternal Intercostal Plane Block and Rectus Sheath Block group

Other group

Description:

Superficial Parasternal Intercostal Plane Block and Rectus Sheath Block

Treatment:

Other: Superficial Parasternal Intercostal Plane Block combined with Rectus Sheath Block