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Sternotomy clinical trials

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NCT ID: NCT04626180 Completed - Sternotomy Clinical Trials

EFFECT OF PRE EXTUBATION MANUAL HYPERINFLATION TECHNIQUE VS REGULAR EXTUBATION AFTER STERNOTOMY

Start date: September 1, 2017
Phase: N/A
Study type: Interventional

Post operative pulmonary complication (PPC) is one of the cause of mortality and morbidity after sternotomy. There is no accessible confirmation which shows the impact of Pre Extubation Manual Hyperinflation method with Regular Extubation procedure. After sternotomy manual hyperinflation technique is not taken during extubation. The objective of the study was to determine the effect of Pre Extubation Manual Hyperinflation technique VS regular Extubation technique on vitals and respiratory parameters in patients after Sternotomy.

NCT ID: NCT04593732 Completed - Sternotomy Clinical Trials

STERN FIX Device as a Sternal Fixation System

Start date: December 12, 2021
Phase: N/A
Study type: Interventional

Pre-market clinical research, prospective, single-arm that aims to assess the sternal sealing in patients in which the sternum has been fixed with the STERN FIX system.

NCT ID: NCT04591119 Completed - Postoperative Pain Clinical Trials

Transversus Thoracis Muscle Plane Block for Postoperative Pain in Adult Cardiac Surgery

Start date: October 20, 2020
Phase: N/A
Study type: Interventional

Inadequate pain control after coronary artery bypass graft surgery increases mortality and results in a higher incidence of persistent poststernotomy pain syndrome. Our aim is to assess whether ultrasound-guided parasternal intercostal block (PSIB) or surgeon implied transversus thoracic muscle plane block (TTMPB) would improve the postoperative pain scores and decrease tramadol consumption better after coronary artery bypass graft surgery

NCT ID: NCT04585867 Recruiting - Pain Management Clinical Trials

Liposomal Bupivacaine vs Bupivacaine for Pain Control After Sternotomy

Start date: October 11, 2017
Phase: Phase 1
Study type: Interventional

Researchers hope to learn whether giving the longer-acting local anesthetic liposomal bupivacaine prior to closing the sternum is more effective in managing pain following sternotomy, than in patients who received standard bupivacaine before sternal closure. Researchers will measure this based on how much IV pain medication is used, rates on confusion, and time to remove the breathing tube.

NCT ID: NCT02457572 Completed - Clinical trials for Cardiac Surgical Procedures

Pulse Pressure Variation Measured During Valsalva Maneuver to Predict Fluid Responsiveness Under Open-chest Condition

Start date: October 2014
Phase: N/A
Study type: Observational

Pulse pressure variation (PPV) is a well-known dynamic preload indicator to predict fluid responsiveness. However, its usefulness in open-chest conditions has been equivocal. The investigators evaluated whether PPV measured during Valsalva maneuver can predict fluid responsiveness after sternotomy.

NCT ID: NCT02031016 Completed - Chronic Pain Clinical Trials

Remifentanil vs Fentanyl During Cardiac Surgery and Chronic Thoracic Pain

REFLECT
Start date: February 2014
Phase: Phase 4
Study type: Interventional

This study will investigate the influence of intra-operative use of remifentanil versus fentanyl on the percentage of patients with chronic thoracic after cardiac surgery via sternotomy. Secondary quantitative sensory testing is performed to determine thermal and electrical detection and pain threshold and the difference in pain variability scoring. Postoperative pain scores, analgesic use, genetic variances and costs are measured.

NCT ID: NCT01870063 Completed - Sternotomy Clinical Trials

Comparision of FIBTEM and Blood-loss

Start date: June 2013
Phase: N/A
Study type: Observational [Patient Registry]

Correlation between FIBTEM and intraoperative blood loss

NCT ID: NCT01828788 Completed - Obesity Clinical Trials

Postoperative Rehabilitation After Cardiac Surgery in Patients at Risk of Respiratory Complications. Effects of a Continuous Bi-laterosternal Infusion of Ropivacaine Through Multihole Catheters

BLS-Sterno
Start date: April 27, 2013
Phase: Phase 2
Study type: Interventional

Postoperative pain after cardiac surgery is a risk factor for postoperative complications. In cardiac surgery, pain is more intense during the first 48 hours and disturbs the patient's capacity of coughing, deep breathing, and early mobilisation. It may be responsible for respiratory complications such as bronchial or pulmonary infection, and may also delay the patient's rehabilitation and therefore prolong the duration of in-hospital stay. A previous pilot study performed in our department showed a sensible improvement of analgesia at movement and of rehabilitation with a continuous bilaterosternal infusion of local anaesthesia [Eljezi et al.. Reg Anesth Pain Med 2012; 37:166]. Such strategy shall be tested in a subpopulation of patients at risk for respiratory complication.

NCT ID: NCT00976313 Completed - Thoracotomy Clinical Trials

Does Thoracic Epidural Analgesia Influence Urinary Micturition by Patients Undergoing Thoracic Surgery?

Start date: September 2009
Phase: N/A
Study type: Observational

Under the influence of epidural analgesia, patients may not feel the urge to urinate, which can result in urinary retention and bladder overdistension. The use of a transurethral catheter is associated with significant morbidity such as patient discomfort, urinary tract infections, urethral trauma and stricture. Urodynamic changes under thoracic epidural anaesthesia are still unknown. The aim of this study is to compare lower urinary tract function before and during thoracic epidural analgesia within segments T2 to T10 for postoperative pain treatment in patients undergoing thoracotomy or sternotomy.

NCT ID: NCT00822419 Not yet recruiting - Sternotomy Clinical Trials

Percutaneous Ketamine Versus Lidocaine for Mid-Sternotomy

Start date: February 2009
Phase: Phase 4
Study type: Interventional

Since midsternotomy is painful postoepratively, and since ketamine has been shown to be optimal postoeprative analgessic adjuvant, the investigators wish to assess its percutaneous preemptive effect, comparing it to lidocaine effect.