Postoperative Pain Clinical Trial
Official title:
Bilateral Continous Thoracic Paravertebral Block Versus IV Fentanyl Infusion For Perioperative Analgesia in Patients Undergoing Cardiac Surgery Through Median Sternotomy
High-quality analgesia during and following cardiac surgery is infrequently obtained, Sternotomy and thoracotomy is associated with significant pain that resulte in hypoventilation, atelectasis, and hypoxemia,Pain management is rarley a priority in the immediate postoperative care of these patients, who frequently require mechanical ventilation in an intensive care environment
Paravertebral nerve blocks (PVBs) can provide excellent intraoperative anaesthetic and
postoperative analgesic conditions with less side effects and fewer contraindications than
central neural blocks,Bilateral PVB has been successfully used in the thoracic, abdominal,
and pelvic regions(12). Paravertebral analgesia is produced by placing local anaesthetic (LA)
alongside the vertebral column, close to the exit of the spinal nerves(13)..
Traditionally, profound intraoperative analgesia has been provided by using high doses of
opioids to suppress hormonal and metabolic stress responses to surgical stimuli. This regimen
resulted in improved morbidity and mortality after cardiac surgery(14).
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