Health Condition 1: R078- Other chest pain
Conditions
Interventions
Intervention1: Transverse Thoracic Muscle Plain Block: Bilateral TTMPB with 0.2% ropivacaine 20ml on each side with 1mcg/kg dexmedetomidine as adjuvant
Control Intervention1: Erector Spinae Plane Bloc
Sponsors
Post Graduate Institute of Medical Education and Research, Chandigarh
Eligibility
Inclusion criteria
Inclusion criteria: Patients with ASA status I and II undergoing elective cardiac procedure through midline sternotomy, CABG where only venous graft is planned ,valve replacement surgery (MVR, AVR, DVR), septal defect surgery (ASD, VSD)
Exclusion criteria
Exclusion criteria: patients who do not volunteer to participate, those who have Ejection fraction less than 35%, those with low cardiac output syndromes. on pre operative ionotropic support, wi9th reccurrent vascular anomalies. those who have allergy to local anaesthetics, those who have severe PAH. If its a reexplporation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| evaluate and compare the cumulative postoperative analgesic requirement (Fentanyl) within the initial 24 hours between two groups: one receiving Thoracic Transversus Thoracic Muscle Plane Block (TTMPB) , and the other receiving Erector Spinae Plane Block (ESPB)Timepoint: 24hrs | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess the time to first rescue analgesic (Fentanyl 0.5 mcg/kg) in each group (in min) to relate to the pain free time. To assess the analgesic efficacy of TTPMB & ESPB as measured by 11point NRS scores at 0,6,12 & 24 hrs. post extubation. To assess & compare the incidence of any complications or adverse events (hematoma, infection, pneumothorax, pericardial effusion etc.)Timepoint: 0,6,12,24 hrs | — |
Countries
India
Contacts
Public ContactDr Kulbhushan Saini
PGIMER, Chandigargh
Outcome results
None listed