Catheter Outcomes With Sternotomy Cardiac Operated

• Status: Completed
• Trial end date: 2015-01-01
• Target enrollment: 0
• Participant gender: All

Summary

Pneumonia occurs frequently in patients undergoing cardiac surgery and allows to increase their mortality. While chest physical therapy plays a crucial role to prevent postoperative pneumoniae, painful mobilization of the sternum after sternotomy limits chest physical therapy. The continuous local anesthetic infusion by multiperforated catheter decreases sternum pain. Because of this optimal pain management, early chest physical therapy could be more efficient and could contribute to decrease the rate of pneumonia.

The aim of this study is to test if management of sternotomy pain using continuous local anesthetic infusion by multiperforated catheter may contribute to decrease the rate of perioperative pneumonia.

• Phase: Phase 3
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Assistance Publique - Hôpitaux de Paris
• Collaborators: Abbott; Baxter Healthcare Corporation; WYM France
• Treatments: Bupivacaine; Pharmaceutical Solutions

Criteria

Inclusion criteria :

• all patient more than 18 years old

• planned cardiac surgery with sternotomy and bypass

• Informed consent written

Exclusion criteria :

• Refusal of patient to be included in the study

• Age less than 18 years old

• Pregnancy

• Emergency

• Prolonged sedation and ventilation more than 48h00 expected in teh postoperative period

• Moribund patient

• Palliative medicine

• Patient in the care of a guardian

• Preoperative pneumonia

• Patient randomized in an other randomized study

• Contraindication to L-bupivacain, morphine sulfate, paracetamol or tramadol

• Lack of national health care insurance