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Comparison of parasternal block given before and after surgery for postoperative pain relief in adult cardiac surgical patients

Comparison of preincisional and postincisional parasternal intercostal block using bupivacaine on postoperative analgesic requirements in adult patients undergoing cardiac surgery:a randomized, controlled study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2018/06/014574
Enrollment
70
Registered
2018-06-19
Start date
Unknown
Completion date
Unknown
Last updated
2024-01-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Interventions

Intervention1: Preincisional parasternal intercostal block: Group B - Parasternal intercostal block with 0.25% bupivacaine in 4 ml aliquots into the anterior ( 2nd to 6th)intercostal spaces before ski

Sponsors

JIPMER
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Elective cardiac surgeries through median sternotomy

Exclusion criteria

Exclusion criteria: 1.history of previous cardiac surgery 2.chronic kidney disease 3.chronic liver disease 4.left ventricular ejection fraction lessthan 35% 5.patients on mechanical ventilator support or inotropes or intra aortic balloon pump preoperatively 6.pregnant and lactating mothers 7,patients who are allergic to study drugs and addicted to narcotis

Design outcomes

Primary

MeasureTime frame
To assess and compare the efficacy of preincisional and postincisional parasternal intercostal block on postoperative analgesic requirement in patients undergoing cardiac surgeryTimepoint: 24 hours after shifting to ICU—

Secondary

MeasureTime frame
1.To assess and compare intraoperative and postoperative hemodynamic stability after preincisional and postincisional parasternal block 2.To compare duration of postoperative mechanical ventilation after preincisional and postincisional parasternal block 3.To compare postoperative Visual Analogue Scale(VAS) pain scores after preincisional and postincisional parasternal block Timepoint: 1.Heart rate and mean arterial blood pressure will be recorded intraoperatively at baseline, skin incision, sternotomy and sterna retractor placement and post operatively at 0,2,4,6,8,12,24 hours after shifting to ICU 2.Immediately after extubation in ICU 3.VAS score will be noted at the time of first spontaneous eye opening and 12,16,20 and 24 hours after shifting to ICU—

Countries

India

Contacts

Public ContactS R A N Bhushanam Padala

Jawaharlal Institute of Postgraduate Medical Education and Research

drajaykjha@rediffmail.com9868477642

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026