Postoperative pain Signs and Symptoms
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 40-70 years 2. Undergoing elective and urgent first time coronary bypass surgery
Exclusion criteria
Exclusion criteria: 1. Critical preoperative state 2. Single graft surgery (no leg incision) 3. Minimally invasive surgery (no sternotomy) 4. Significant renal disease (baseline creatinine >150 micromolar: morphine contraindicated) 5. Patients exceeding 110kg (4% of our operative population practical difficulties of positioning unconscious patients to place the block) 6. Pregnancy 7. Patients with chronic pain taking regular analgesic medication 8. Patients with a significant abnormality of coagulation 9. Participation in another interventional study 10. Patients unable to give informed consent 11. Hypersensitivity to lidocaine
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Morphine consumption using a PCA device | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pain (measured using ordinal scale) and respiratory function (PEFR) for first 7 days 2. Quality of life, measured using the EuroQol EQ-5D questionnaire at 3 months | — |
Countries
United Kingdom