Status:

NOT_YET_RECRUITING

Addition of Dexmedetomidine to Ropivacaine in Bilateral Erector Spinae Plane Block in Patients Undergoing Coronary Artery Bypass Surgery

Lead Sponsor:

Lebanese American University

Conditions:

Pain

Pain Management Following Cardiopulmonary Bypass Surgery

Eligibility:

All Genders

25-80 years

Phase:

PHASE4

Brief Summary

Coronary artery bypass surgery (CABG), typically performed through a median sternotomy, causes significant postoperative pain. Managing this pain effectively while reducing reliance on opioids is esse...

Eligibility Criteria

Inclusion

  • Age range: 25 - 80 years old
  • Planned for elective OFF PUMP CABG
  • Cognitively not impaired
  • American Society of Anesthesiologists class 3
  • Left ventricular ejection fraction ≥40%
  • Consent form for the study signed
  • No infection at the site of injection
  • No contraindication for ESP block (thrombocytopenia, anticoagulation therapy)
  • No documented allergy to ropivacaine or dexmedetomidine

Exclusion

  • Refusal to participate in the study
  • Emergency surgery
  • American Society of Anesthesiologists class \>3
  • Left ventricular ejection fraction \<40%
  • Infection at the site of injection for ultrasound-guided ESPB
  • Coagulation disorders
  • Documented allergy to ropivacaine or dexmedetomidine
  • Greater than first-degree heart block
  • Bradycardia (heart rate \[HR\] \< 50 bpm)
  • Pregnancy
  • BMI ≥40
  • Psychiatric illnesses that would interfere with the assessment of pain scores
  • History of alcohol or drug abuse and chronic analgesic use

Key Trial Info

Start Date :

May 15 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 16 2026

Estimated Enrollment :

110 Patients enrolled

Trial Details

Trial ID

NCT06981949

Start Date

May 15 2025

End Date

May 16 2026

Last Update

May 21 2025

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