Postoperative pain in minimally invasive cardiac surgery
Conditions
Interventions
At the end of surgery, an ultrasound-guided serratus anterior plane block was performed. A 17gauge Tuohy needle was used for needle insertion, and an initial bolus of 3 mL of 0.25% levobupivacaine was
Sponsors
Department of Anesthesiology and Critical Care Medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Adult patients scheduled for elective minimally invasive cardiac surgery via right lateral thoracotomy Patients scheduled to receive continuous postoperative analgesia using a serratus anterior plane block Patients who provided written informed consent after adequate explanation of the study protocol
Exclusion criteria
Exclusion criteria: Patients with a history of allergy or hypersensitivity to local anesthetics Patients with chronic opioid use Patients with a body weight <33 kg Patients with a body mass index >30 kg/m2 Patients with a history of ipsilateral (right-sided) thoracic surgery Patients with psychiatric or neurological disorders In addition, patients who required conversion from minimally invasive cardiac surgery to open thoracotomy, or in whom catheter tip position could not be evaluated on chest radiography, were excluded from the final analysis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Catheter tip position assessed on chest radiographs immediately after surgery, on postoperative day 1, and on postoperative day 2. | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative pain assessed using the NRS Time required to perform the nerve block Catheter insertion length Evaluation of catheter position using ultrasound imaging Presence of complications Number of rescue analgesic administrations Total opioid consumption | — |
Countries
Japan
Contacts
Public ContactAyano Toyama
Jichi Medical University Saitama Medical Center Department of Anesthesiology and Critical Care Medicine
Outcome results
None listed