Median sternotomy in cardiac surgery is the severe pain operation which lead to both acute and chronic pain in the future. Moreover, stimulating of the sympathetic nervous system is an increment of heart rate and blood pressure associated with aggravate oxygen consumption and an imbalance of the circulatory system which causes to increase on myocardial ischemia. Transversus thoracic muscle plane block is the new regional technique, ability of controlled pain, and sympathetic response. Therefore,
Conditions
Interventions
Controlled group used 30 ml of normal saline injection bilaterally Transversus thoracic muscle plane block by ultrasound version KONICA SONIMAGE MX1 and frequency 11 to 13 MHz of ultrasound liner pro
Controlled group,Intervention group
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Patients, who are an elective median sternotomy cardiac surgery cases, admit in The Central Chest Institute of Thailand 2. Age of patients is 18 years or over
Exclusion criteria
Exclusion criteria: 1.BMI of patients is less than 18.5 kilograms per meter square 2. Body weight of patients is less than 40 kilograms 2.LVEF of patients is less than 45 percent 3. Patients use ventilator or IABP or inotropic drugs before operation 4. Patients are Thrombocytopenia or coagulation abnormality 5.Patients need to Reoperation or emergency operation 6. Patients are hemodyalysis chronic renal failure disease 7. Patients are local anesthetic allergy 8. Patients are poor controlled hypertension 9. Patients appear infection at procedural area 10.Patients have communication failure or abnormality of consiousness 11. Patients has aortic surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hemodynamic stability 6 months Blood pressure (mmHg), Heart rate (beat per minute) | — |
Secondary
| Measure | Time frame |
|---|---|
| type and dose of intravenous vasodilator drugsvasodila 6 months microgram per kilogram per minute | — |
Countries
Thailand
Contacts
Public ContactAreerat Kaewanuchit
Central Chest Institute of Thailand
Outcome results
None listed