Analgesia, Anesthesia, Cardiac Implantable Electronic Device, Nerve Block
Conditions
Brief summary
The aim of this study is to evaluate the feasibility of the Pectoralis Nerve (PECS) block for CIED insertion.
Detailed description
Implantable Cardiac Electronic Device (CIED) insertion can be performed under local anesthesia, regional anesthesia, or general anesthesia. Novel regional blocks may improve pain management for such patients and can shorten their length of stay in the hospital. At the study, the investigators aimd to evaluate the efficacy and feasibility of the PECS block for CIED insertion procedure.
Interventions
OTHERPectoral Nerve (PECs) block
Pectoral Nerve (PECS) blocks were performed on the side of surgery, using the ultrasound-guided technique 30 min before the implantable cardiac electronic device (pacemaker, implantable cardioverter defibrillator) insertion procedure
Sponsors
Antalya Training and Research Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* American Society of Anaesthesiologists grade II-IV patients * in the age group of 18-80 years, * Patients undergoing CIED insertion
Exclusion criteria
* pre-existing infection at the block site, * coagulopathy, * morbid obesity (Body mass index \>35 kg m-2 ), * allergy to local anaesthetics, * decreased pulmonary reserve, * psychiatric illness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| amount of intraoperative additional local anesthetic | 1 hour | amount of intraoperative additional local anesthetic administered by the cardiologist during the CIED insertion procedure was recorded. |
| number of patients who requiring intraoperative additional local anesthetic | 1 hour | Number of patients requiring intraoperative additional local anesthetic was recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain scores | 24 hours | Postoperative pain scores were assessed by Visual Analogue Scale (VAS) scores from 0 (no pain) to 10 (maximum possible pain) for 24 hours postoperatively. |
| time to first postoperative analgesic requirement | 24 hours | time to first postoperative analgesic requirement was recorded for 24 hours postoperatively |
| patient satisfaction | 24 hours | Patient satisfaction was assessed by a 5-point Likert scale (ie, 1: very dissatisfied, 2: dissatisfied, 3: neutral, 4: satisfied, and 5: very satisfied) 24 hours after the procedure |
| cardiologist satisfaction | 24 hours | Cardiologist satisfaction was assessed by a 5-point Likert scale (ie, 1: very dissatisfied, 2: dissatisfied, 3: neutral, 4: satisfied, and 5: very satisfied) 24 hours after the procedure |
Countries
Turkey (Türkiye)
Outcome results
None listed