Serratus Anterior Plane Block Versus Standard of Care After Totally Endoscopic Aortic Valve Replacement

• Status: Recruiting
• Trial end date: 2023-03-31
• Target enrollment: 0
• Participant gender: All

Summary

The aim of this study is to assess and compare the efficacy of a serratus anterior plane (SAP) block and our current pain protocol (Patient Controlled Intravenous Analgesia with opioids) in the prevention and treatment of acute postoperative pain after totally endoscopic aortic valve replacement (AVR) surgery.

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

Details

• Lead Sponsor: Jessa Hospital
• Treatments: Pirinitramide

Criteria

Inclusion Criteria:

• Scheduled for elective aortic valve replacement surgery via right anterolateral thoracotomy

• Adult patients (minimally 18 years old)

• EuroScore ii < 3%

• Bodyweight > 50 kg

Exclusion Criteria:

• Refusal to participate

• Inability to communicate due to language or neurologic barriers

• Inability to control and self-administer opioids with PCIA or to comprehend the NRS pain score due to confusion or learning difficulties

• Chronic use of opioids

• Chronic use of analgesic antidepressants and/or antiepileptics

• History of major trauma or surgery to right chest wall

• History of chronic pain at right chest wall

• Allergy to opioids and/or local anesthetics

• Allergy to acetaminophen

• Morbid obesity (BMI > 35)

• Pregnancy

• Peroperative events compromising early postoperative recovery (aortic dissection, systolic anterior motion of the mitral valve, cardiac tamponade, ..)