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REGIONAL ANALGESIA TECHNIQUES FOR EFFECTIVE RECOVERY TO CORONARY ARTERY BYPASS SURGERIES: A RETROSPECTİVE STUDY IN A SINGLE CENTER EXPERIENCE

V

V.K.V. American Hospital, Istanbul

Status

Completed

Conditions

Postoperative Pain

Treatments

Procedure: CABG operation

Study type

Observational

Funder types

Other

Identifiers

NCT05282303
Cosarcan3

Details and patient eligibility

About

Background Pain after cardiac surgery is both multifocal and multifactorial. Sternotomy, sternal retraction, internal mammary dissection, posterior rib dislocation or fracture, possible brachial plexus injury, and mediastinal and pleural drains contribute to pain experienced in the immediate postoperative period. Ineffective pain management can cause systemic and pulmonary complications and significant cardiac consequences.

Methods This study was conducted to compare the effectiveness of regional anesthesia techniques for perioperative pain management in cardiac surgery patients at our clinic. The effects of analgesic methods, in terms of contributing to recovery, have been examined.

Full description

This study was approved by the Koç University Clinical Research Ethics Committee (2021.464.IRB1.131); patients who underwent coronary artery bypass grafting (CABG) surgery at the VKV American Hospital between January 2015 and May 2020 were reviewed retrospectively. Patients with a history of cerebrovascular events, scheduled carotid surgery, or emergency CABG surgery were excluded from the study. Demographic data from the preoperative evaluation forms and operation types from the surgery reports were recorded. Intraoperative anesthesia follow-up forms were assessed if regional anesthesia was used, and the type and extent of opioids during the operation were examined. The postoperative transfer forms were examined to the cardiovascular intensive care unit (CICU), intensive care follow-up forms, and service ward record follow-up forms. Pain scores (NRS) during rest and coughing, vital signs, mobilization, and the start of respiratory exercises were recorded for postoperative respiratory complications.

Enrollment

221 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Who underwent coronary artery bypass grafting (CABG) surgery at the VKV American Hospital between January 2015 and May 2020 were reviewed retrospectively

Exclusion criteria

  • History of cerebrovascular event
  • History of Alzheimer's and dementia
  • Inadequate cognitive functions
  • History of chronic pain
  • Long-term opioid therapy

Trial design

221 participants in 4 patient groups

DIESPB
Description:
Dual injection of erector spinae plane block
Treatment:
Procedure: CABG operation
TPVB
Description:
Thoracic paravertebral block
Treatment:
Procedure: CABG operation
SAB
Description:
Serratus anterior plane block
Treatment:
Procedure: CABG operation
PIB
Description:
Parasternal ıntercostal block
Treatment:
Procedure: CABG operation

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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