REGIONAL ANALGESIA TECHNIQUES FOR EFFECTIVE RECOVERY TO CORONARY ARTERY BYPASS SURGERIES: A RETROSPECTİVE STUDY IN A SINGLE CENTER EXPERIENCE
Study Details
Study Description
Brief Summary
Background Pain after cardiac surgery is both multifocal and multifactorial. Sternotomy, sternal retraction, internal mammary dissection, posterior rib dislocation or fracture, possible brachial plexus injury, and mediastinal and pleural drains contribute to pain experienced in the immediate postoperative period. Ineffective pain management can cause systemic and pulmonary complications and significant cardiac consequences.
Methods This study was conducted to compare the effectiveness of regional anesthesia techniques for perioperative pain management in cardiac surgery patients at our clinic. The effects of analgesic methods, in terms of contributing to recovery, have been examined.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
This study was approved by the Koç University Clinical Research Ethics Committee (2021.464.IRB1.131); patients who underwent coronary artery bypass grafting (CABG) surgery at the VKV American Hospital between January 2015 and May 2020 were reviewed retrospectively. Patients with a history of cerebrovascular events, scheduled carotid surgery, or emergency CABG surgery were excluded from the study. Demographic data from the preoperative evaluation forms and operation types from the surgery reports were recorded. Intraoperative anesthesia follow-up forms were assessed if regional anesthesia was used, and the type and extent of opioids during the operation were examined. The postoperative transfer forms were examined to the cardiovascular intensive care unit (CICU), intensive care follow-up forms, and service ward record follow-up forms. Pain scores (NRS) during rest and coughing, vital signs, mobilization, and the start of respiratory exercises were recorded for postoperative respiratory complications.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| DIESPB Dual injection of erector spinae plane block |
Procedure: CABG operation
Efficacy of regional analgesia techniques in coronary artery bypass operations
|
| TPVB Thoracic paravertebral block |
Procedure: CABG operation
Efficacy of regional analgesia techniques in coronary artery bypass operations
|
| SAB Serratus anterior plane block |
Procedure: CABG operation
Efficacy of regional analgesia techniques in coronary artery bypass operations
|
| PIB Parasternal ıntercostal block |
Procedure: CABG operation
Efficacy of regional analgesia techniques in coronary artery bypass operations
|
Outcome Measures
Primary Outcome Measures
- Postoperative analgesia [0 - 24 hours]
NRS score
Eligibility Criteria
Criteria
Inclusion Criteria:
- Who underwent coronary artery bypass grafting (CABG) surgery at the VKV American Hospital between January 2015 and May 2020 were reviewed retrospectively
Exclusion Criteria:
-
History of cerebrovascular event
-
History of Alzheimer's and dementia
-
Inadequate cognitive functions
-
History of chronic pain
-
Long-term opioid therapy
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | American Hospital | Istanbul | Turkey | 34365 |
Sponsors and Collaborators
- V.K.V. American Hospital, Istanbul
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Cosarcan3