Erector Spina Block or Parasternal Block Plus Chest Tube Wound Infiltration for Cardiac Surgeries

NCT06267443 | Not Yet Recruiting

• 1 other identifier: 2023/337
• Study Type: interventional
• Target: 100
• Locations: 0 countries
• Sites: N/A

Brief Summary

Pain management is important after coronary artery bypass graft (CABG) surgery. Intravenous morphine is the gold standard for pain relief, but its sedation, cough suppression and decreased bowel movements limit its use. Analgesia with regional methods after surgery provides effective analgesia by reducing morphine consumption. In this study we have planned to compare the erector spina plane block with parasternal block +local infiltration to chest tube areas.

Conditions

Postoperative Pain; Postoperative Atelectasis; Analgesia

Keywords

CPBGS; postop analgesia; ESPB; parasternal block; local anesthetic

Outcome Measures

Primary Outcomes (2)

• postoperative analgesia

  postoperatively in the intensive care unit during mechanical ventilation behavioral pain, score, after extubation visüel analog scala will be used to measure postoperative pain of the patients. during mechanical ventilation every 2 hours after extübation 2., 4., 6., 8., 12., 24. hours

  24 hours after after surgery

• postoperative atelectasia

  postoperatively at the 12. th and 24.th hours with ultrasonography the patients lungs will be sreened for atelectasis

  24 hours after after surgery

Secondary Outcomes (1)

• postoperative mechanical ventilation duration

  24 hours after after surgery

Study Arms (2)

Group 1

ACTIVE COMPARATOR

in this group erector spina plane block will be performed before surgery for post operative analgesia

Procedure: Comparison of erector spina plane block, parasternal block plus local infiltration to the tube sides for postoperative analgesia

Group 2

ACTIVE COMPARATOR

in this group after endotracheal intubation bilateral parasternal block will be performed and to the chest tube sides local anesthetic infiltration will be performed

Procedure: Comparison of erector spina plane block, parasternal block plus local infiltration to the tube sides for postoperative analgesia

Interventions

Comparison of erector spina plane block, parasternal block plus local infiltration to the tube sides for postoperative analgesia PROCEDURE

Group 1: erector spina plane block: With USG guidance at the thoracal level of 4-5, with 20ml 2.5% bupivacaine ESPB will be performed. after surgery in the ICU pain score and atelectasia will be evaluated. Group 2: With USG guidance parasternal block will be performed after intubation bilaterally with 10 ml 0.25% bupivacaine each side. at the end of the surgery infiltration of chest tube sides will be performed with 10 ml 2.5% bupivacain.

Group 1; Group 2

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients who will undergo open heart surgery
• Patients who agreed to participate in the study-

You may not qualify if:

• Patients who do not agree to participate in the study
• Patients with chronic lung disease
• Patients with D. Mellitus

Sponsors & Collaborators

• TC Erciyes University: lead

MeSH Terms

Conditions

Pain, Postoperative; Agnosia

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms; Perceptual Disorders; Neurobehavioral Manifestations; Nervous System Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PROFESSOR DR

Study Record Dates

• First Submitted: December 25, 2023
• First Posted: February 20, 2024
• Study Start: March 1, 2024
• Primary Completion: July 1, 2024
• Study Completion: August 1, 2024
• Last Updated: February 20, 2024

Record last verified: 2024-02