Health Condition 1: I251- Atherosclerotic heart disease of native coronary artery Health Condition 2: O- Medical and Surgical
Conditions
Interventions
Intervention1: Bilateral erector spinae plane block: Single shot ESP block performed at T5 level on both side with 0.3 ml/kg 0.5% ropivacaine.
Control Intervention1: Patient controlled opioid analgesi
Sponsors
AIIMS Jodhpur
Eligibility
Inclusion criteria
Inclusion criteria: Belonging to ASA II/III, posted for elective cardiac surgery with midline sternotomy
Exclusion criteria
Exclusion criteria: Not willing to participate in the study Emergency surgery Patient in whom fast tracking could not be possible patient with cognitive deficit Contraindications for fascial plane block LVEF Patient with liver and renal dysfunction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare post operative fentanyl consumption during first 24 hours of ICU stayTimepoint: first 24 hours of ICU stay | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare postoperative Visual Analog Scale (VAS) pain score at rest and on cough during first 24 hours. To compare the Time to extubation in both the groups. To compare the peak inspiratory flow rate during first 24 hours. To compare the post-operative pulmonary complications like atelectasis,acute bronchitis,ARDS, Respiratory failure,aspiration pnuemonia etc in both techniques. To compare patient satisfaction score. To compare the Adverse effects of both the techniques. Timepoint: First 24 hours of ICU stay | — |
Countries
India
Contacts
Public ContactManish Mohan
AIIMS Jodhpur
Outcome results
None listed