Acute and chronic pain after median thoracotomy for cardiac surgery
Conditions
Interventions
Pecto-Intercostal Fascial Plane Block(FIFP group):In the intervention group, a linear ultrasound transducer was positioned in the parasagittal plane between the fourth and fifth intercostal spaces, 2-
Control group:In the control group, a linear ultrasound transducer was positioned identically in the parasagittal plane between the fourth and fifth intercostal spaces, 2-3 cm lateral to the midline,
Sponsors
Zhongda Hospital, Southeast University
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Patients who are scheduled to undergo median thoracotomy for the first time; 2. Age >=18 years old; 4. American Society of Anesthesiologists (ASA) classification grades I-IV; 5. Patients who have been reviewed and approved by the ethics committee of this hospital and have signed a consent form with the patient or their family.
Exclusion criteria
Exclusion criteria: 1. Patients with relative or absolute contraindications to nerve block puncture: e.g., allergy to local anesthetics, infection or hematoma at the puncture site; 2. Pre-existing acute or chronic pain; 3. History of preoperative opioid use; 4. Severe systemic diseases (renal, hepatic, pulmonary, or endocrine); 5. Preoperative psychiatric disorders, communication barriers, or refusal to participate; 6. Patients requiring reoperation or postoperative death.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of chronic pain three months after the surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative acute pain;The incidence of chronic pain at 6 months and 12 months after the surgery;Impact of chronic pain on quality of life, assessment of postoperative pain characteristics, and status of anxiety and depression at 3, 6, and 12 months postoperatively;Patient satisfaction with analgesia;Postoperative recovery quality;Total opioid consumption within 5 days after surgery;Adverse events related to thoracic intercostal fascial plane block;Incidence of nausea, vomiting, dizziness and pruritus within 48h;Time to first administration of rescue analgesics;Extubation time;Length of stay in ICU;Total length of stay;Drainage tube placement time; | — |
Countries
China
Contacts
Public ContactJuan Yao
Department of Anesthesiology, Surgery and Pain Management, Zhong da Hospital, Southeast University
Outcome results
None listed