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This study aims to compare the analgesic effects of erector spinae plane block versus Superficial Parasternal Intercostal Plane Block block along with rectus sheath block after off-pump cardiac surgery
General anaesthesia will be used for all patients. induction by midazolam 0.05-0.1 mg/kg, fentanyl 2-5 µ/kg, propofol 1-2 mg/kg, and atracurium 0.5 mg/kg for intubation. Maintenance by sevoflurane in oxygen-air mixture. regional blocks will be used after the induction of anaesthesia. Intraoperative analgesia will be maintained by fentanyl infusion 1-2 µ/kg/h while morphine sulphate 2.5-5mg will be used as rescue analgesia when pain score>4 beside acetaminophen 1000 mg /6 hours
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Erector Spinae Plane Block group | Other | Erector Spinae Plane Block |
|
| Superficial Parasternal Intercostal Plane Block and Rectus Sheath Block group | Other | Superficial Parasternal Intercostal Plane Block and Rectus Sheath Block |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Erector Spinae Plane Block | Other | Erector Spinae Plane Block |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Total opioid consumption | µg and mg | Perioperative. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity at rest and exercise | Visual analogue score: a score from 0 to 10(0= no pain and 10 the worst imaginable pain) | Perioperative. |
| Extubation time | minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Abd-Elazeem A Elbakry, MD | Menoufia University | Principal Investigator |
| Amal G Safan, MD | Menoufia University | Principal Investigator |
| Islam M El-Desoky, MD | Menoufia University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine | Cairo | Shebin Elkom | Egypt |
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| ID | Term |
|---|---|
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| Superficial Parasternal Intercostal Plane Block combined with Rectus Sheath Block |
| Other |
Superficial Parasternal Intercostal Plane Block combined with Rectus Sheath Block |
|
| Perioperative |
| Duration of post anaesthesia care unit stay | minutes | Perioperative |
| Postoperative nausea | number (%) | Perioperative |
| Postoperative vomiting | number (%) | Perioperative |
| Duration of hospital stay | days | Postoperative up to 4 weeks |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |