Cardiovascular Surgery
Conditions
Keywords
regional anesthesia, postoperative pain, doppler ultrasound, cardiovascular surgery
Brief summary
The aim of this study was to evaluate the effect of pectointercostal fascial plane block on regional haemodynamic parameters in patients undergoing cardiac surgery.
Detailed description
Perioperative pain management has become an important component of Enhanced Recovery After Surgery (ERAS) protocols in patients undergoing cardiac surgery. Pain is most intense in the first two days after cardiac surgery. Inadequate pain control has been shown to cause an increase in pulmonary complications due to inadequate mobility and coughing, an increase in sympathetic activation, an increase in myocardial infarction and thromboembolic events, delayed wound healing, and prolonged hospital and intensive care unit stay. Non-steroidal anti-inflammatory drugs (NSAIDs), paracetamol, opioids, epidural anesthesia and ultrasound-guided fascial plane blocks are widely used for pain management after cardiac surgery. The pectointercostal fascial plane (PIFP) block is an ultrasound-guided, superficial fascial plane block that can be applied as part of multimodal postoperative analgesia, especially after cardiac surgery. PIFB block has been shown to reduce postoperative analgesic consumption and improve pain scores not only in patients undergoing cardiac surgery but also in non-cardiac surgeries and thoracic procedures. The aim of this study was to evaluate the effect of PIFP block on regional haemodynamic parameters in patients undergoing cardiac surgery.
Interventions
OTHERPIFP block group
Ultrasound-guided PIFP block will be performed approximately 30 minutes before surgery in patients undergoing cardiac surgery
OTHERControl group
No intervention
Sponsors
Antalya Training and Research Hospital
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* elective cardiac surgery * over 18 years, adult * American Society of Anaesthesiology (ASA) I-III
Exclusion criteria
* history of cerebrovascular disease * history of Alzheimer's disease * mental disorder * emergency surgery * re-operated due to surgery-related complications * allergy to local anaesthetics * declining to give written informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| blood volume | 1 hour | The regional haemodynamic impact of PIDB block will be evaluated by Doppler ultrasound |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative opioid consumption | 24 hours | The amount of postoperative opioid consumption will be recorded |
| postoperative Numerical Rating Scale (NRS) pain scores | 24 hours | The postoperative pain intensity will be assessed with NRS pain scores (0=no pain, 10=worst possible pain) |
| length of hospital stay | 5 days | The interval from the end of the surgery until the patient's discharge will be recorded. |
Countries
Turkey (Türkiye)
Contacts
STUDY_DIRECTORArzu O Karaveli, M.D.
University of Health Sciences, Antalya Training and Researh Hospital
Outcome results
None listed