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NCT05763810 Clinical Trial

Comparing Different Regional Blocks for Analgesia After Off-pump Cardiac Surgery

Analgesia Clinical Trial

Official title:
Analgesic Effects of Erector Spinae Plane Block Versus Superficial Parasternal Intercostal Plane Block Combined With Rectus Sheath Block After Off Pump Cardiac Surgery: A Randomised Trial

Clinical Trial Details — Status: Active, not recruiting

Administrative data
NCT number NCT05763810
Other study ID # 2/2023 ANET 15-3
Secondary ID
Status Active, not recruiting
Phase N/A
First received
Last updated
Start date March 15, 2023
Est. completion date April 2024

Study information
Verified date January 2024
Source Menoufia University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study aims to compare the analgesic effects of erector spinae plane block versus Superficial Parasternal Intercostal Plane Block block along with rectus sheath block after off-pump cardiac surgery

Description:

General anaesthesia will be used for all patients. induction by midazolam 0.05-0.1 mg/kg, fentanyl 2-5 µ/kg, propofol 1-2 mg/kg, and atracurium 0.5 mg/kg for intubation. Maintenance by sevoflurane in oxygen-air mixture. regional blocks will be used after the induction of anaesthesia. Intraoperative analgesia will be maintained by fentanyl infusion 1-2 µ/kg/h while morphine sulphate 2.5-5mg will be used as rescue analgesia when pain score>4 beside acetaminophen 1000 mg /6 hours

Recruitment information / eligibility
Status Active, not recruiting
Enrollment 22
Est. completion date April 2024
Est. primary completion date April 2024
Accepts healthy volunteers No
Gender All
Age group 18 Years to 80 Years
Eligibility Inclusion Criteria: - American Society of anaesthesiologists physical status classification II-III - Elective off-pump cardiac surgery Exclusion Criteria: - Cognitive impairment - Allergy to local anaesthetics - Renal and/or hepatic dysfunction - Ejection fraction< 45%

Study Design

Related Conditions & MeSH terms

Intervention

Other:
• Erector Spinae Plane Block
Erector Spinae Plane Block
• Superficial Parasternal Intercostal Plane Block combined with Rectus Sheath Block
Superficial Parasternal Intercostal Plane Block combined with Rectus Sheath Block

Locations
Country Name City State
Egypt Faculty of Medicine Cairo Shebin Elkom

Sponsors (1)
Lead Sponsor Collaborator
Abd-Elazeem Abd-Elhameed Elbakry

Country where clinical trial is conducted

Egypt, 

Outcome
Type Measure Description Time frame Safety issue
Primary Total opioid consumption µg and mg Perioperative.
Secondary Pain intensity at rest and exercise Visual analogue score: a score from 0 to 10(0= no pain and 10 the worst imaginable pain) Perioperative.
Secondary Extubation time minutes Perioperative
Secondary Duration of post anaesthesia care unit stay minutes Perioperative
Secondary Postoperative nausea number (%) Perioperative
Secondary Postoperative vomiting number (%) Perioperative
Secondary Duration of hospital stay days Postoperative up to 4 weeks
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