Trial Search Results

Regional Anesthesia for Cardiothoracic Enhanced Recovery

The erector spinae plane block (ESPB) is a novel regional analgesic technique that provides pain relief with a peripheral nerve block catheter. The goal of this study is to see if bilateral ESPB catheters can improve clinical outcomes in patients undergoing cardiac surgery via sternotomy, such as decreasing the duration of postoperative mechanical ventilation, need for intravenous opioid medications, length of stay in the intensive care unit (ICU), and improving pain scores.

Stanford is currently not accepting patients for this trial.

Lead Sponsor:

Stanford University

Stanford Investigator(s):

Intervention(s):

  • Procedure: Bilateral ESP catheter with lidocaine
  • Procedure: Bilateral ESP catheter with saline

Phase:

N/A

Eligibility


Inclusion Criteria:

   - Give consent to participate in study

   - planned sternotomy

   - specific procedures: CABG (coronary artery bypass grafting) or AVR (aortic valve
   repair or replacement) or MVR (mitral valve repair or replacement) or combination of
   any of 2 of these

   - Primary or first redo sternotomy

Exclusion Criteria:

   - Participants who cannot give consent

   - Patients who are clinically unstable or require urgent/emergent intervention

   - more than1 prior sternotomy

   - planned aortic arch procedures

   - preoperative coagulopathy (INR >1.5, PTT >35) or ongoing anticoagulation (heparin
   infusion, therapeutic low molecular weight heparin, warfarin, dual antiplatelet
   therapy)

   - Severe ventricular dysfunction (left or right ventricle)

   - Known heart failure (systolic or diastolic)

Ages Eligible for Study

18 Years - 100 Years

Genders Eligible for Study

All

Not currently accepting new patients for this trial

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Archana Verma
Not Recruiting