Health Condition 1: O- Medical and Surgical Health Condition 2: Q208- Other congenital malformations ofcardiac chambers and connections
Conditions
Interventions
Intervention1: High spinal group: High spinal anesthesia group - Patients will receive spinal anesthesia at the L3-L4 level using hyperbaric bupivacaine 0.5% (0.5mg/kg) and morphine (4mcg/kg). Duratio
Sponsors
Post graduate institute of medical research and education
Eligibility
Inclusion criteria
Inclusion criteria: 1Acyanotic heart disease: ASD closure, VSD closure, without severe PAH with midline sternotomy. 2.ASA I –III.
Exclusion criteria
Exclusion criteria: 1.Emergency cases. 2.Active respiratory infections. 3.Patients with contraindication to spinal anesthesia or erector spinae block. 4.History of allergies to local anesthetics. 5.Pre existing neurological or spinal disorders. • Redo cardiac surgery. • Severe Left ventricular dysfunction. • Severe PAH.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of supportive mechanical ventilation after completion of surgery.Timepoint: Primary outcome will be measured from completion of surgery, every hourly till the patients gets extubated. | — |
Secondary
| Measure | Time frame |
|---|---|
| 6To assess the post-operative fentanyl requirement. •Quality of analgesia using MOPS score. Time taken for mobilizing the patient. Length of stay of the patient in the ICU. Evaluate adverse effects: hypotension, bradycardia, respiratory depression, PONV. Timepoint: 24 HOURS | — |
Countries
India
Contacts
Public ContactDr Kulbhushan Saini
PGIMER, Chandigarh
Outcome results
None listed