Successful cutaneous sensory blockade following single and double injection techniques of ultrasound-guided superficial parasternal intercostal plane (PIP) block in patients undergoing open cardiac surgery ultrasound-guided superficial parasternal intercostal plane block, cardiac surgery, median sternotomy, CABG, valvular heart surgery, analgesia
Conditions
Interventions
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients between 20 - 70 years old 2. American Society of Anesthesia (ASA) physical status II - IV 3. Undergoing elective coronary artery bypass graft surgery (CABG) or valvular surgery with median sternotomy 4. Body weight > 50 kg
Exclusion criteria
Exclusion criteria: 1. Patients who refused to participate in this trial 2. Patients who allergic to bupivacaine and dexamethasone, renal or hepatic failure, coagulopathy, chronic pain, and drug addiction. 3. Morbid obesity (BMI > 40 kg/m2) 4. Secondary median sternotomy or emergency cardiac surgery 5. Inability to communicate such as language barrier and deafness
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| successful cutaneous blockade of T2-T6 dermatomes over the medial chest wall after single and double injection techniques at 30 minutes after nerve block numbness and loss of sensation of T2-T6 dermatomes over the medial chest wall | — |
Secondary
| Measure | Time frame |
|---|---|
| analgesics consumption, pain score, safety and recovery profile postoperative period postoperative periodat 6th, 12th, 24th, 36th, 48th and 60th hour the amount of opioid consumption ( mcg), numeric rating scale, the time to extubation in postoperative period | — |
Countries
Thailand
Contacts
Chiang Mai university