minimally invasive direct coronary artery bypass grafting
Conditions
Interventions
Contorl Group :Without ultrasound-guided serratus anterior plane block
Sponsors
The First Affiliated Hospital of Nanjing Medical University / Jiangsu Province Hospital
Eligibility
Sex/Gender
All
Age
40 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Elective minimally invasive coronary artery bypass grafting; 2. Age 40–70 years, both genders; 3. ASA physical status class II or III; 4. New York Heart Association (NYHA) functional class II or III; left ventricular ejection fraction (EF) > 50%; 5. Postoperative admission to the ICU; 6. Planned postoperative hospital stay > 24 hours.
Exclusion criteria
Exclusion criteria: 1. Refusal to participate; 2. Contraindications to serratus anterior plane block (thoracic infection; infectious disease or tumor of the skin or soft tissue at the puncture site; unclear or abnormal anatomical location of the puncture site; unclear surface landmarks; coagulation dysfunction; allergy to local anesthetics); 3. Long-term use of chronic analgesic drugs; 4. Inability to understand or complete the Pittsburgh Sleep Quality Index (PSQI) and the 15-item Quality of Recovery (QoR-15) questionnaire; 5. Emergency surgery patients; 6. Severe hepatic or renal insufficiency, chronic obstructive pulmonary disease; 7. Psychiatric disorders or sleep disorders.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pittsburgh Sleep Quality Index (PSQI) scores on preoperative day 1 and on postoperative days 1, 3, and 5;Quality of Recovery-15 (QoR-15) scores at 12 h, 24 h, 48 h, and 72 h postoperatively; | — |
Secondary
| Measure | Time frame |
|---|---|
| Numerical Rating Scale scores for static and dynamic pain (coughing, position changes, etc.) at 12 h, 24 h, 48 h, and 72 h postoperatively;Time of extubation, length of ICU stay, and number of rescue analgesic administrations; | — |
Countries
China
Contacts
Public ContactChen Yu
The First Affiliated Hospital of Nanjing Medical University/ Jiangsu Province Hospital
Outcome results
None listed