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Sternotomy clinical trials

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NCT ID: NCT06153550 Completed - Sternotomy Clinical Trials

The Benefit of Preparation in Respiratory Physiotherapy Before a Sternotomy in the Context of Cardiac Surgery

Start date: September 1, 2021
Phase:
Study type: Observational

The sternotomy has some influence on the respiratory system after cardiac surgery, considerably increasing the risk of perioperative and postoperative breathing. There is respiratory preparation before cardiac surgery using local physiotherapeutic guidelines.

NCT ID: NCT05676814 Completed - Analgesia Clinical Trials

Pecto-intercostal Fascial Block (PIFB) for Postop Analgesia Following Sternotomy in Cardiac Surgery Patients

Start date: March 24, 2023
Phase: Phase 4
Study type: Interventional

The purpose of this randomized, triple-blinded, prospective, feasibility study is to compare postoperative analgesia provided by Pecto-intercostal Fascial Block (PIFB) when performed with local anesthetic solution with or without perineural adjuvants in patients following cardiac surgery involving sternotomy. The study team hypothesizes that the patients receiving PIFB with bupivacaine with epinephrine, clonidine, and dexamethasone will have lower dynamic pain over the first 36 hours compared to those receiving PIFB with just bupivacaine and epinephrine.

NCT ID: NCT05356715 Completed - Postoperative Pain Clinical Trials

Erector Spinae Plane Block in Post-operative Recovery in Cardiac Surgery With Median Sternotomy.

Start date: January 1, 2022
Phase: N/A
Study type: Interventional

This study aim is to measure the time of extubation in patients receiving ultrasound guided bilateral Erector Spinae Plane (ESP) block after cardiac surgery .

NCT ID: NCT04743895 Completed - Sternotomy Clinical Trials

Study Comparing Steel Wire to a Flat, Braided Suture to Close the Breastbone

Start date: January 4, 2021
Phase: N/A
Study type: Interventional

This pilot study is prospective, randomized, single-blinded, single-center for adult patients undergoing sternotomy closure after cardiac surgery. The clinical, patient-reported, and imaging outcomes will be measured comparing standard stainless steel wire (SSW) cerclage versus the FiberTape cerclage.

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: 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