Pain, Acute, Pain, Chest
Conditions
Brief summary
Poststernotomy pain is a complication of cardiac surgery. Poorly controlled pain is associated with myocardial ischemia, cardiac arrhythmias, hypercoagulability, pulmonary complications, and increased rates of delirium and wound infection. The transverse thoracic muscle plane (TTMP) block is a novel plane block that provide pain for sternotomy. The aim of this study was to evaluate the analgesic effect of ultrasound guided TTMP block in patients undergoing open heart surgery.
Interventions
Ultrasound guided 20 ml % 0.250 bupivacaine injection to transverse thoracic muscle plane bilaterally
Ultrasound guided 20 ml % 0.9 saline injection to transverse thoracic muscle plane bilaterally
Sponsors
Study design
Eligibility
Inclusion criteria
American Society of Anesthesiologist's physiologic state I-III patients Undergoing Open Heart Surgery
Exclusion criteria
chronic pain bleeding disorders renal or hepatic insufficiency patients on chronic non-steroidal anti-inflammatory medications emergency cases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative opioid consumption | first 24 hours | First 24 hours total fentanyl consumption with patient controlled analgesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual analog pain score | postextubation 0-24 hours | Post operative pain will be evaluated with a Visual Analogue Scale (VAS) score of 0-10 (0= no pain and 10= worst imaginable pain) |
Countries
Turkey (Türkiye)