Minimal Invasive Cardiac Surgery, Minimal Invasive Cardiac Surgery Mitral Valve Surgery, Serratus Anterior Plane Block
Conditions
Brief summary
Patients undergoing minimally invasive mitral valve reconstruction via small thoracotomy are randomized into two groups. The intervention group receives serratus anterior plane block after minimally invasive mitral-valve reconstruction, following 48h infusion with ropivacaine 2% continually. The control group receives a placebo pump without infusion. Primary endpoints are perceived pain using a numeric pain rating scale and opioid consumption during the hospital stay.
Interventions
postoperative SAPB and pain catheter with continous administered (5ml/h Ropivacain 0,2%) for 48h
institutional standard of care pain medication protocol
Sponsors
Study design
Eligibility
Inclusion criteria
-Planned minimal invasive mitral valve repair via right anterior thoracotomy
Exclusion criteria
* Pregenancy * Opioid abuse * Historyof chronic pain * Allergy to local anaesthetics (in this case ropivacain) * Patients who simultaneously participate in another interventional clinical trial, unless the Principal Investigators of the clinical trials give consent by mutual agreement Soft tissue infection in the area of the procedure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difference of Numeric Rating Scale after MIC-MKR | within 12, 24 and 48 hours after surgery | Numeric Rating Scale (0-10, 0=smallest value, 10=greatest value) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Difference of opioid consumption after MIC-MVR | within 12, 24 and 48 hours after surgery | daily, cumulative dose of opioid analgetic medication after MIC-MKR |
Countries
Germany