Nerve Block
Conditions
Interventions
This is a two-arm randomized controlled clinical trial. A total of 92 people who meet the eligibility criteria will be probabilistically allocated to one group or the other. Neither the researchers ev
s discretion, Ketamine, rocuronium, etomidate, and maintenance of anesthesia with 2 to 3 percent sevoflurane. Information will be collected on the incidence of postoperative pain, opioid consumption,
Sponsors
Instituto das pequenas missionárias da Maria Imaculada
Instituto das pequenas missionárias da Maria Imaculada
Eligibility
Age
25 Years to 80 Years
Inclusion criteria
Inclusion criteria: Adult patients aged between 25 and 80 years ; both sexes ; elective cardiac surgery ; median sternotomy (valve replacement, valvuloplasty or myocardial revascularization)
Exclusion criteria
Exclusion criteria: Extracorporeal circulation (ECC) time: greater than 120 minutes ; perioperative complications: primarily surgical, which may directly impact the analyzed outcomes ; diseases with pain hypersensitivity: conditions that may significantly alter pain perception and opioid consumption (e.g., fibromyalgia, neurological diseases that impact pain sensitivity) ; reoperative surgeries: pain and recovery time may differ significantly ; coagulation disorders that may increase the risk of hematomas in regional blocks ; allergy or contraindication to local anesthetics or adjuvants; inability to communicate and assess: patients who cannot express or report their pain reliably (e.g., severe neurological disorders, cognitive impairment)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| A reduction in opioid consumption is expected during and immediately after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| A reduction in mechanical ventilation time is expected between the groups;It is expected that there will be a reduction in the length of stay in the intensive care unit and hospital;A reduction in the use of vasoactive drugs is expected;It is expected that there will be a reduction in the incidence of adverse effects from opioids;A reduction in the occurrence of respiratory complications is expected;A reduction in the occurrence of arrhythmias is expected;A reduction in postoperative pain levels is expected 6, 12, and 24 hours post-surgery | — |
Countries
Brazil
Contacts
Public ContactLucas Fuentes
Hospital e Maternidade Marieta Konder Bornhausen
Outcome results
None listed