Pectoral Nerves Block to Relieve Post-sternotomy Pain After Cardiac Surgery
Pain, Postoperative, Cardiac Surgery
About this trial
This is an interventional treatment trial for Pain, Postoperative
Eligibility Criteria
Inclusion Criteria:
Obtaining one or more of the following elective surgical procedures at NYU Winthrop Hospital with midline sternotomy:
- Coronary artery bypass graft (any number of vessels)
- Aortic Valve Replacement (AVR)
- Aortic Valve Repair
- Mitral Valve Replacement (MVR)
- Mitral Valve Repair
- Tricuspid Valve Replacement
- Tricuspid Valve Repair
- Pulmonic Valve replacement
- Pulmonic Valve Repair
- Congenital Heart Defect Repair
- Ascending Thoracic Aortic Aneurism Repair
- Patient Age > 18 years.
- Willingness and ability to participate in the study procedures
- Sufficiently hemodynamically stable to give consent
Exclusion Criteria:
An individual who meets any of the following criteria will be excluded from participation in this study:
- Hemodynamic instability
- Preexisting infection at site of block
- Allergy to block agents
- Severe psychiatric illness
- Intubated emergently prior to reception by the perioperative team
- Patient is preoperatively on extracorporeal membrane oxygenation (ECMO) treatment.
- Pregnant patient
- Recent surgery
Sites / Locations
- NYU Winthrop Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Pectoral nerves block type 2 (PECS2)
Control Group: standard post-operative pain regimen
The intervention is the PECS2 block, a previously developed modality for preventing pain in the anterior chest. The medication used in the block is Ropivicaine 0.5%, Lidocaine 1% + 1:100,000 epinephrine, and 40 μg dexmedetomidine. Patients will receive a standard post-operative pain regimen per institutional protocol.
Patients will receive a standard post-operative pain regimen per institutional protocol.