Continuous Erector Spinea Block Versus Intravenous Analgesia in Coronary Bypass Surgery

• Status: Completed
• Trial end date: 2020-12-10
• Target enrollment: 0
• Participant gender: All

Summary

Adequate postoperative pain relief in patients in cardiac surgery is very essential. multimodal techniques for perioperative pain management post cardiac surgery include intravenous patient controlled analgesia, thoracic epidural and paravertebral blockade. Analgesia through thoracic epidural is the gold standard technique for post-sternotomy pain control but it has serious complications. ESP block is an easy technique compared to paravertebral block and less hazardous than thoracic epidural. Hence, this study will compare continuous bilateral erector spinae block guided by ultrasound with intravenous analgesia which is the standard method for pain management in cardiac surgery.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Ain Shams University
• Treatments: Fentanyl; Meperidine; Narcotics

Criteria

Inclusion Criteria:

• elective cardiac surgery.

• age 18-65 years.

• patients with median sternotomy.

• body mass index <30kg.m2.

• left ventricular ejection fraction >50%.

Exclusion Criteria:

• significant aortic stenosis.

• left main coronary artery disease.

• patient on anti-coagulants0

• pre-existing respiratory, neurological, or renal disease.

• CSF or blood tap during the procedure.

• failure to thread the catheter.

• anomalies of vertebral column.