Health Condition 1: I050- Rheumatic mitral stenosis Health Condition 2: I060- Rheumatic aortic stenosis Health Condition 3: I061- Rheumatic aortic insufficiency Health Condition 4: I051- Rheumatic mitral insufficiency Health Condition 5: I251- Atherosclerotic heart disease of native coronary artery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients undergoing elective open heart surgery via median sternotomy
Exclusion criteria
Exclusion criteria: Inability to provide informed consent 2. Patients with urgent or emergency procedures 3. Allergy to amide type anaesthetics 4. Patients with preoperative inotropic or vasoactive drug support 5. Redo surgery 6. History of thoracotomy or mastectomy 7. Patients with a history of chronic pain or on chronic opioids or sedatives 8. Renal failure with estimated glomerular filtration rate<30mL/min (Cockcroft-Gault formula) 9. chronic liver or kidney disease 10. Patients with coagulopathies 11. Pregnanant and lactating women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| to compare the percentage change in heart rate,systolic blood pressure,mean arterial presssure from the base line values at 1, 3, 5 minutes after sternotomy.Timepoint: to compare the percentage change in heart rate,systolic blood pressure,mean arterial presssure from the base line values at 1, 3, 5 minutes after sternotomy. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Total intraoperative fentanyl requirementTimepoint: From induction of Anaesthesia to shifting out to recovery room;2.Total postoperative fentanyl requirement in first 48 hours after surgeryTimepoint: 48 hours after shifting to recovery room;3.Post operative pain magnitude measured by Numerical rating scale(NRS)(Annexure-1) at 30 minutes post extubation, then every 6 th hourly upto 24 hours post extubationTimepoint: 30 min,6 hours,12 hours,18 hours,24 hours post extubation | — |
Countries
India
Contacts
Sri Venkateswara Institute of Medical Sciences