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Timing Effect of Ultrasound-Guided PVB After Robotic Cardiac Surgery

Cedars-Sinai Medical Center logo

Cedars-Sinai Medical Center

Status

Unknown

Conditions

Cardiac Surgery
Nerve Block

Treatments

Procedure: PVB block

Study type

Interventional

Funder types

Other

Identifiers

NCT04298580
STUDY00000203

Details and patient eligibility

About

This study is to evaluate whether the administration of ultrasound-guided paravertebral block (PVB) after surgery would produce better postoperative pain control and fast postoperative recovery after Robotic cardiac surgery. Half of participants will receive PVB before surgery, while the other half will receive PVB at the end of surgery.

Full description

Ultrasound-guided PVB (either before surgery, or after surgery) is the standard postoperative pain management for Robotic cardiac surgery. This technique is to inject local anesthetic (numb medication) around nerve to decrease pain. But the optimal time of PVB is unknown.

The administration of PVB before surgery can help pain control during the surgery and after surgery. But the duration of PVB could be reduced because surgery itself can last 5-6 hrs.

The PVB after surgery will not provide pain control during surgery, but may provide longer pain control after surgery, and may help participants faster recovery after surgery.

Enrollment

60 estimated patients

Sex

All

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  1. Age ≥ 18 yrs
  2. ASA I-IV
  3. Either gender

Exclusion criteria

  1. Refusal to participate in the study

  2. Age< 18 yrs

  3. Contraindications to regional blockage including but not limited to:

    1. Patient refusal to regional blockade
    2. Infection at the site of needle insertion
    3. Systemic infection
    4. Bleeding diathesis or coagulopathy

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

60 participants in 2 patient groups

PVB before surgery
Active Comparator group
Treatment:
Procedure: PVB block
PVB after surgery
Active Comparator group
Treatment:
Procedure: PVB block

Trial contacts and locations

0

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Central trial contact

Manxu Zhao, MD

Data sourced from clinicaltrials.gov

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