Surgical pain after Minimally Invasive Cardiac Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Elective patient who undergo Minimally Invasive Cardiac Surgery with lateral thoracic approach 2.ECOG performance status 0-2
Exclusion criteria
Exclusion criteria: 1.History of thoracotomy 2.History of cardiac surgery 3.Long-term use of opioids 4.Use of analgesic more than 2 months 5.Allergy to local anesthetics 6.Liver failure, renal insufficiency 7.Infection at the block site 8.Pregnancy 9.Phsychiatric disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fentanyl consumption in the first 5 days after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Numerical rating pain scale at rest and moving 2.Length of intensive care unit stay 3.Length of hospital stay 4.Serum concentrartion of ropivacaine 5.Serum concentrartion of fentanyl 6.Short Physical Performance Battery score, walking distance for 6 minutes, grip strength, perimeter of the thorax, range of motion angle at the upper limb joint 7.Incidence of nausea and vomitting 8.Incidence of ropivacaine-induced adverse events 9.Number of use of additional analgesics 10.Time to the first use of fentanyl in intavenouse patient-controlled analgesia 11.Time from discontinuation of fentanyl administration during mechanical ventilation to reinitiation of fentanyl administration for analgesia 12.Transthoracic echocardiography before and after surgery | — |
Countries
Japan
Contacts
Sendai Kousei Hospital Department of Anesthesiology