Health Condition 1: I259- Chronic ischemic heart disease, unspecified Health Condition 2: I248- Other forms of acute ischemic heart disease Health Condition 3: I069- Rheumatic aortic valve disease, unspecified Health Condition 4: I059- Rheumatic mitral valve disease, unspecified Health Condition 5: I089- Rheumatic multiple valve disease,unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age > 18 years 2. ASA 3/4 3. Coronary artery bypass grafting surgeries 4. valve surgeries 5. combined CABG + valve surgery
Exclusion criteria
Exclusion criteria: 1. Patients not giving consent. 2. Age 3. Vascular surgeries 4. Perioperative cardiac arrest 5. Allergy to local anaesthetics. 6. Cardiogenic shock 7. Emergency surgery 8. Redo surgery 9. Preoperative Intra Aoprtic Baloon pump
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cumulative morphine useTimepoint: 24 hours post operatively | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.NRS scores post extubation till 24 hours. 2.Hemodynamic stability. 3. Cumulative fentanyl usage 4. Time to extubation (after shifting the patient to ICU) 5.Time of first rescue analgesia. 6. Respiratory Rate 7. Gas parameters (Ph, Pco2, Po2, RBS, BE, Lactate 8.Complications if any. 9. Need for blood transfusions Re-explorations if any. Timepoint: 24 hours post operatively | — |
Countries
India
Contacts
Madras Medical Mission Hospital