Bilateral Serratus Intercostal Plane Block for Myocardial Revascularization (SERRINT) (SERRINT)
Pain, Postoperative, Pain Management, Analgesia, Patient-Controlled
About this trial
This is an interventional supportive care trial for Pain, Postoperative focused on measuring Analgesia, patient- controlled, Block , Pain Postoperative
Eligibility Criteria
Inclusion Criteria:
- Patient between 18 years to 80 years
- Patient to myocardial revascularization by sternotomy
Exclusion Criteria:
- Patient for combined surgery ( myocardial revascularization by sternotomy plus valve or maze)
- Emergency surgery
- Ejection Fraction less than 35%
- Allergy to the local anesthesics.
- Allergy to opioids
- Patient in who will be technically impossible the application of the blockade
Sites / Locations
- Luz Jenny PachecoRecruiting
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Conventional Analgesia
Serrato intercostal plane Block
These patients will receive the protocol multimodal analgesia patients receive on the Colombian Cardiovascular Foundation for handling an analgesic in cardiovascular surgery, this start in surgery with Lidocaine 0.5mcg/k. Dexamethasone 8mcg, Fentanyl Bolus: 7mcg/k . infusion of Fentanyl 4 mcg/k/h start after induction , go down to 2 Mcg/k/h during extracorporeal circulation , after extracorporeal circulation the infusion will be suspended of Fentanyl. and the postoperative analgesia will be 500mg of acetaminophen oral and Analgesia, patient controlled with Fentanyl 20mcg/bolus.
These patients will receive the protocol multimodal analgesia patients receive on the Colombian Cardiovascular Foundation with Lidocaine 0.5mcg/k. Dexamethasone 8mcg, Fentanyl Bolus: 7mcg/k . infusion of Fentanyl 4 mcg/k/h start after induction , go down to 2 Mcg/k/h during extracorporeal circulation , after extracorporeal circulation the infusion will be suspended of Fentanyl.In this Arm the patient will give a bilateral serratus intercostal plane block, will be performed echo-guided puncture in the line anterior axillar with fifth costal arch, whit 21 ml of anesthetic mass, 20 ml of Levobupivacaine 0.375 and 1 mg (2mg) of dexamethasone. and the postoperative analgesia will be 500mg of acetaminophen oral and Analgesia, patient controlled with Fentanyl 20mcg/bolus