Health Condition 1: I208- Other forms of angina pectoris
Conditions
Interventions
Intervention1: Paravertebral block: In the PVB group the US probe will be placed parallel to the posterior midline at the level of T5 and moved laterally to visualize the transverse process and pleura
Sponsors
Sri Ramachandra Institute of Higher Education and Research
Eligibility
Inclusion criteria
Inclusion criteria: All patients aged 30 to 65 years scheduled for minimally invasive Coronary Artery Bypass Surgery
Exclusion criteria
Exclusion criteria: Allergic to local anesthetics Patient refusal to serratus anterior plane block or Paravertebral block Local infection at injection site Opioid abuse Presence of coagulopathy or bleeding disorder Taking antiplatelet or anticoagulant medication Bradycardia Cardiac conduction block Patients with Heart failure EF less than 40 percent emergency surgery ASA IV and V severe cardiorespiratory renal or hepatic disorders chronic chest pain cerebrovascular accident central neuropathy Psychiatric disease BMI greater than 35 kilogram per metre square Difficulty in performing the blocks Inability to give consent to the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative opioid fentanyl consumptionTimepoint: 2 years | — |
Secondary
| Measure | Time frame |
|---|---|
| Time for the first request of rescue analgesia Post operative VAS score Post operative Richmond agitation sedation scaleTimepoint: 30 minutes 1 hour 2 hours 4 hours 8 hours 12 hours 24 hours 48 hours postoperatively | — |
Countries
India
Contacts
Public ContactRajesh Kumar Kodali V
Sri Ramachandra Institute of Higher Education and Research
Outcome results
None listed