Health Condition 1: I251- Atherosclerotic heart disease of native coronary artery
Conditions
Interventions
Intervention1: Pecto-intercostal facial plain block group: Group A: â?? Once patient enters OT, they will be connected to NIBP ,SpO2 and ECG monitors. Arterial line will be placed under local anaesth
Sponsors
Shree Chitra Tirunal Institute for Medical Sciences and Technology
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria Adult patients coming for elective cardiac surgery having CAD for CABG. > 40 years old and Median sternotomy Patient undergoing Coronary Artery bypass surgery.
Exclusion criteria
Exclusion criteria: Emergency Surgeries. Redo-surgeries. Open Sternum Left Ventricular Ejection Fraction Preoperative use of narcotics or illicit drug abuse. History of chronic intractable non-cardiac pain. Liver or Kidney disease Allergy to Amide group of anaesthetics, Morphine or Fentanyl. Arrhythmia history or rhythm disturbances documented in ECG. Haemodynamically unstable patients, already on preoperative inotropic support or Intraarterial balloon pumps(IABP). Anticipated surgery or Surgery lasting more than 6hrs. Patient on ventilator time more than 12hrs or planned for overnight ventilation. Patients refusing to participate. Patients refusing for parting with medical data for analysis. Patients refusing to participate after the start of study and desire to leave the study at any point of time. Patients currently enrolled in another study. Patients with inability to provide informed written consent. Inability to complete Pain assessments. Post-operative complications with underlying cardio-respiratory cause requiring return to operative room for re-explorations or reinstitution of mechanical ventilation. Patients refusing the offered therapeutic options in either group. No bias against gender, class, caste, ethnicity, race and will be considered as inclusion or exclusion criteria.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the quality and effectiveness of postoperative pain relief offered by ultrasound guided bilateral single shot parasternal pecto-intercostal fascial block after tracheal extubation, when the block would be administered before surgical incision providing preemptive analgesiaTimepoint: A) At Tracheal Extubation B) Therareafter at 4 hourly interval upto 24 hours. | — |
Secondary
| Measure | Time frame |
|---|---|
| . Effects of the blockade on sedation, ventilation and requirement of concomitant analgesics To assess the patient cooperation and patient comfort while performing the deep inspiratory exercises, coughing, and incentive spirometry, in the immediate post Tracheal-extubation period. Timepoint: A) At Tracheal Extubation B) Therareafter at 4hourly intervals upto 24 hours. | — |
Countries
India
Contacts
Public ContactDr Subin Sukesan
SCTIMST, TRIVANDRUM
Outcome results
None listed