Postoperative Pain
Conditions
Interventions
There are two groups in the study, Erector Spinae Plane Block (ESPB) group and control group (CG). Forty-one patients will be included: 21 in intervention group and 20 in control group. The day before
checking of imaging tests (chest X-ray and transthoracic echocardiogram) and routine laboratory investigation (blood count, coagulogram, kidney and liver function tests)
application of the consent term (TCLE)
randomization. On the day of the surgical procedure, patients from both groups will be submitted to the Hospital's surgery/anesthesia service protocol: antibiotic prophylaxis using cefuroxime 1,5g
anesthesia with the same anesthetics at all stages of general anesthesia for both groups: induction (midazolam 0.05 mg/kg, fentanyl 5 mcg/kg, etomidate 0.20 mg/kg, rocuronium 0.6 to 1.0 mg/kg), mainte
E03.091
Sponsors
Hospital Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)
Hospital Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)
Eligibility
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: Patients undergoing elective open heart surgery; age between 18 and 70 years; American Society of Anesthesiologists (ASA) classification classes I to III; Cardiac Anesthesia Risk Evaluation (CARE) score 1 and 2; and who sign the consent term.
Exclusion criteria
Exclusion criteria: Patients with liver failure; ropivacaine and dipyrone allergy; Body Mass Index (BMI) greater than 40 kg/m²; left ventricular ejection fraction less than 40 percent; emergency surgery; hemodynamic instability; chronic use of opioids (use of opioids for more than 3 months or daily dose of morphine greater than 5mg/day for 1 month); post-operative reintubation; need for surgical re-approach in the postoperative period.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assess postoperative analgesia using bilateral ESPB in a single preoperative injection in adult patients undergoing open heart surgery (sternotomy) compared to analgesia usually used with morphine in a continuous infusion pump, verified by pain assessment using the visual numeric scale and measurement of the amount of rescue morphine used postoperatively. | — |
Secondary
| Measure | Time frame |
|---|---|
| Evaluate the amount of fentanyl used intraoperatively by measuring the anesthesia record sheet in both groups. | — |
Countries
Brazil
Contacts
Public ContactRafael Vidal
Hospital Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)
Outcome results
None listed