Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patient belonging to ASA - PS 2 , 3 or 4 2. Patient posted for elective cardiac valve replacement or repair surgery / ASD / VSD closure cases with midline sternotomy
Exclusion criteria
Exclusion criteria: 1.Patient who refuse to participate in the study 2.Patient posted for emergency Surgery 3.Patient with allergy to study drugs 4.Patient with cognitive deficits making them inefficient to use IV PCA pump 5.Patient with any contraindications for spinal and fascial plane block 6.Patient with LVEF 7.Patient with preoperative cardiac support (IV inotropes and/or vasoconstrictors) 8.Patient withMorbid obesity (body mass index greater than 35 kg/m2) 9.Patient with liver and renal dysfunction 10.Patient of opium addict
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare postoperative fentanyl consumption by patientTimepoint: First 24 hrs after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare pre and postoperative pulmonary function (FVC, FEV1 & the FEV1/FVC ratio) in both group To compare postoperative Visual Analog Scale (VAS) pain score at rest and on cough during first 24 hours (2, 6, 12 and 24 h in intensive care unit) (desirable VAS 4) To compare the Time to extubation in both the groups. To compare patient satisfaction score. To compare the Adverse effects of both the techniquesTimepoint: FIRST 24 HOURS OF POSTOPERATIVE PERIOD | — |
Countries
India
Contacts
AIIMS , Jodhpur