Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: ultrasound-guided midpoint transverse process to pleura block: Bilateral ultrasound-guided block with inj. 0.25% Bupivacaine hydrochloride at a dose of 0.3 ml/kg is given. The skilled a
Sponsors
Raja Avinash
Eligibility
Inclusion criteria
Inclusion criteria: Patients undergoing elective cardiac surgical procedure via median sternotomy incision
Exclusion criteria
Exclusion criteria: 1) Complex cardiac anomalies, including atrioventricular septal defect, coarctation of the aorta, severe stenosis or insufficiency of the semilunar valves and Tetralogy of Fallot 2) Local site infection 3) Systemic sepsis 4) History of allergy to local anaesthetic agent 5) Liver dysfunction 6) Redo surgery/Emergency surgery 7) Critically ill patient viz on mechanical ventilation, preoperative inotropic support 8) Thoracic vertebral abnormalities 9) Intraoperative and postoperative complications related to surgery or nature of the disease e.g., Intra-operative pulmonary hypertensive crisis, difficult CPB weaning, need for prolonged elective ventilation post-op. 10) Pre-existing coagulopathic disorder. 11) Parent refusal to consent and participation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Perioperative pain, which is measured using the Comfort Scale at skin incision, sternotomy, weaning from bypass, at 0 1, 2, 4, 6, 8, 12, 24 hours after shifting to Intensive care unit, and at extubationTimepoint: 1.Perioperative pain, which is measured using the Comfort Scale at skin incision, sternotomy, weaning from bypass, at 0 1, 2, 4, 6, 8, 12, 24 hours after shifting to Intensive care unit, and at extubation | — |
Secondary
| Measure | Time frame |
|---|---|
| . Mean fentanyl consumption intraoperative and post-operative 2. Rescue analgesia requirement 3. Time to extubation 4. Length of ICU stay Timepoint: upto 24 hr | — |
Countries
India
Contacts
Public ContactRAJA AVINASH
ABVIMS, Dr RML Hospital, New Delhi
Outcome results
None listed