Status:
RECRUITING
Transversus Thoracis Plane Block Versus Parasternal Intercostal Nerve Plane Block for Cardiac Surgery
Lead Sponsor:
Zagazig University
Conditions:
Cardiac Surgery
Eligibility:
All Genders
21-60 years
Phase:
NA
Brief Summary
Traditionally postoperative pain management after cardiac surgery has been based on opiate analgesics. However, opiates have some undesirable dose-related side-effects such as nausea, constipation, vo...
Detailed Description
Enhanced Recovery After Surgery (ERAS) is an international effort to develop perioperative programs aimed at optimizing patient outcomes and healthcare delivery efficiency. These programs are composed...
Eligibility Criteria
Inclusion
- Patient acceptance.
- Sex: both; male and female
- Age (21-60) years old.
- American society of anesthesiology (ASA): II and III.
- Body mass index (BMI) \>35 kg/m2
- Elective cardiac surgeries requiring median sternotomy.
- Accepted mental state of the patient.
- Non-smoker or ex-smoker for more than one month.
- Optimal preoperative glycemic control, defined by a hemoglobin A1c level less than 6.5%.
Exclusion
- Patient refusal and lack of informed consent.
- Emergency or non-median sternotomy surgery.
- History of allergy to local anesthetics (lidocaine or bupivicaine).
- Coexisting hematologic disorders or malnourished patient.
- Pre-existing major organ dysfunction including hepatic or renal failure, and left ventricular ejection fraction \<30%
- Peripheral neuropathy.
- Pregnancy.
- Patients with a diagnosis of cognitive impairment.
- Significant psychiatric illnesses including schizophrenia, bipolar disorder, uncontrolled anxiety, or depression.
Key Trial Info
Start Date :
December 15 2023
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
May 15 2024
Estimated Enrollment :
75 Patients enrolled
Trial Details
Trial ID
NCT06155097
Start Date
December 15 2023
End Date
May 15 2024
Last Update
January 30 2024
Active Locations (1)
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1
faculty of medicine, Zagazig university
Zagazig, Elsharqya, Egypt, 44519