Stellate Ganglion Block in Beating Heart Surgery

• Status: Unknown status
• Trial end date: 2019-06-01
• Target enrollment: 0
• Participant gender: All

Summary

studies suggest that off-pump coronary artery bypass surgery is associated with improved outcomes when compared to on-pump coronary artery bypass. many studies have shown that off-pump coronary bypass surgery reduces patient morbidity and mortality.

manipulation of the coronary arteries during cardiac surgery can stimulate the adjacent post-ganglionic sympathetic fibers and mimic stellate ganglion stimulation ,stellate ganglion block (SGB) can interrupt this reflex by decreasing the efferent cervical sympathetic outflows.

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

Details

• Lead Sponsor: Assiut University
• Treatments: Bupivacaine

Criteria

Inclusion Criteria:

• patients undergoing elective off-pump coronary artery bypass grafting surgery

• patients with an ejection fraction of more than 50%

• creatinine level of less than 2.0 mg / 100 ml

• no evidence of heart failure

• no significant chronic obstructive lung disease

• age of less than 60 years

Exclusion Criteria:

• emergency surgery

• patients on thrombolytic therapy

• patients with coagulation disorders

• patients requiring heart lung machine

• patients with clinical contraindications to SGB ( including allergy to local anesthetic , carotid vascular disease as defined by ipsilateral prior carotid endarterectomy or carotid stent, superficial infection at the proposed puncture site, contralateral phrenic or laryngeal nerve palsies , and severe chronic obstructive pulmonary disease )

• patients with history of atrial fibrillation