Intravenous(IV) vs. Erector Spinae Plane Blocks in Cardiac Surgery

• Status: Recruiting
• Trial end date: 2023-03-01
• Target enrollment: 0
• Participant gender: All

Summary

Interfascial plane blocks have been developed for analgesia, among which the erector spinae plane (ESP) has gained popularity. The ESP block has been hypothesized to provide truncal analgesia by spread of local anesthetic into the paravertebral space. Recent studies have contested this idea showing unreliability in the spread of the local anesthetic into the paravertebral space.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Archit Sharma
• Treatments: Lidocaine

Criteria

Inclusion Criteria:

• Undergoing elective cardiac surgery for coronary artery bypass graft (CABG) or valve surgery via sternotomy.

• English speaking

Exclusion Criteria:

• Emergency surgery

• Allergy to medications (ie lidocaine)

• BMI less than 20 or greater than 35

• Major liver or kidney dysfunction or other pre-existing major organ dysfunction

• Revision cardiac surgery

• Surgery via thoracotomy

• Off-pump coronary artery bypass

• Narcotic dependent (Opioid intake morphine equivalents greater than 10mg/day for more than 3 months

• Chronic pain (ie fibromyalgia)

• Significant central nervous system or respiratory disease

• Hematological disorders or de-ranged coagulation parameters

• Psychiatric illness that impedes subject from providing informed consent

• Pre-operative neurological deficits

• Language barrier

• Inability to provide informed consent

• Prisoner status

• Pregnancy