Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients posted for elective cardiac surgery using midline sternotomy incision under general anesthesia 2. Both males and females 3. Age group between 18-65 years 4. Patients weighing between 40 kg - 85 kg
Exclusion criteria
Exclusion criteria: left main coronary artery disease left ventricular ejection fraction less than 40 percent anomalies of vertebral column and patients operated for thoracic spine surgeries blood or CSF tap during the procedure patient on anticoagulants bleeding diathesis 6. morbidly obese patients BMI more than 30
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post operative VAS score Total doses of rescue analgesicsTimepoint: Patients will be interrogated for pain by VAS visual analogue scale scoring system Pain will be classified into mild VAS 0to4 moderate 5to7 severe VAS more than 8 at rest and at deep breathing at 0 hr extubation and 3hr 6hr 12hr from extubation | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of analgesia Duration of cardiac surgery Time to extubation Total length of ICU stay Incidence of local anaesthetic systemic toxicity Complications Like pneumothorax & hematoma formationTimepoint: Patients will be interrogated for pain by VAS visual analogue scale scoring system. Pain will be assessed at deep breathing at the time of extubation followed by 3hr 6hr 12hr from extubation. If VAS score more than 4 at rest or patients complains of pain IV fentanyl 1 mcg per kg will be given for rescue analgesia. | — |
Countries
India
Contacts
MGM MEDICAL COLLEGE AND HOSPITAL AURANGABAD