Health Condition 1: I257- Atherosclerosis of coronary arterybypass graft(s) and coronary artery of transplanted heart with angina pectoris
Conditions
Interventions
Intervention1: Ultrasound-guided transversus thoracic plane block (TTPB) combined with serratus anterior plane block (SAPB).: At the completion of cardiac surgery, while the patient remains intubated
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: ASA I and II Elective cardiac surgery via median sternotomy Extubated within 24 hour
Exclusion criteria
Exclusion criteria: Refusal to participate Coagulopathy Local infection at block site Allergy to local anaesthetic Emergency re exploration Hemodynamic instability post surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative pain intensity, measured using a validated pain scale (e.g.Visual Analogue Scale [VAS]) at rest and on coughing/movement over the first 24–48 hours after surgery.Timepoint: After extubation 30 min post extubation 1 hour post extubation 2 hour post extubation 3 hour 6 hour 12 hour 24 hour | — |
Secondary
| Measure | Time frame |
|---|---|
| Opioid consumption (e.g., total tramadol-equivalent dose in the first 24–48 hours). 2. Time to first rescue analgesia after block. 3. Incidence of postoperative nausea and vomiting (PONV). 4. Duration of ICU/hospital stay. 5. Block-related complications (pneumothorax, local anesthetic toxicity, hematoma, etc.). 6. Patient satisfaction scores regarding postoperative analgesia. 7. Functional recovery markers (deep breathing, incentive spirometry, early ambulation if relevant).Timepoint: Post extubation 24 hour During icu stay During follow up | — |
Countries
India
Contacts
Public ContactShubhi kapuskar
NSCB MEDICAL COLLEGE JABALPUR
Outcome results
None listed