Health Condition 1: I252- Old myocardial infarction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adult patients undergoing cardiac surgery via midline sternotomy. 2.Patients under American society of anesthesiologist class I to III
Exclusion criteria
Exclusion criteria: Patients with contraindication to Transversus Thoracic Muscle Plane Block or Serratus Anterior Plane block Patients with history of allergies to local anesthetics. Local site infection Severe pulmonary artery hypertension Redo cardiac surgery. Severe PAH. Poor Ejection Fraction Emergency surgery Anticipated patients requiring mechanical ventilation for more than 24 hours postoperatively.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare cumulative opioid (fentanyl) consumption within the first 24 hours between patients receiving Dexmedetomidine and those receiving Dexamethasone as adjuvants to dual fascial plane blocks following median sternotomy.Timepoint: 24 HOURS | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To evaluate and compare the time to extubation between the study groups 2. To compare intraoperative fentanyl requirement. 3. To compare postoperative fentanyl consumption between both groups. 4. To compare postoperative pain scores at rest and during coughing using the Numerical Rating Scale (NRS) at 6, 12, and 24 hours. 5. To compare the time to first requirement of rescue analgesia. 6. To analyze and compare the incidence of adverse events, including: Hypotension Bradycardia Respiratory depression Postoperative nausea and vomiting (PONV) Timepoint: 24 HOURS | — |
Countries
India
Contacts
Cardiac Anesthesia and Intensive Care