Health Condition 1: I00-I99- Diseases of the circulatory system
Conditions
Interventions
Intervention1: Pec block(for group P): Patients will be given bilateral ultrasound guided Pecs block using 0.25% ropivacaine and 25microgram dexmedetomidine after end of surgery(after skin closure). 1
Sponsors
Dr Rati Prabha
Eligibility
Inclusion criteria
Inclusion criteria: Patients belonging to American Society of Anesthesiologists physical status III-IV, undergoing elective cardiac surgery undergoing median sternotomy for valve replacement/Coronary artery bypass graft/isolated ventricular or atrial septal defect will be recruited in the study.
Exclusion criteria
Exclusion criteria: Ejection Fraction less than 40%, Aortic cross clamp time more than 120 minutes, Re-do Cardiac surgery, Coagulopathy, Refusal to give consent, Surgery for both Coronary artery bypass graft and valvular repair at same time, Liver or renal disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of analgesia (defined as time gap between the time of giving nerve block and analgesic requested by the patient)Timepoint: post-operative period | — |
Secondary
| Measure | Time frame |
|---|---|
| Cumulative post operative analgesics (paracetamol, fentanyl) consumed in first 24 hours after surgeryTimepoint: At end of 24 hours after surgery;Duration of hospital say after surgeryTimepoint: At the time of discharge of the patient from hospital after surgery;Duration of ICU stayTimepoint: at the time of shifting out the patient from ICU;Pain intensity as measured by numeric rating scaleTimepoint: Immediately after extubation, and at 3 hours, 6 hours, 12 hours, 18 hours and 24 hours after extubation;peak expiratory flowTimepoint: at end of 24 hours after surgery;Time of extubation after surgeryTimepoint: At time of extubation after surgery in postoperative period | — |
Countries
India
Contacts
Public ContactDr Rati Prabha
King Georges Medical University
Outcome results
None listed