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Regional Anesthesia for Cardiothoracic Enhanced Recovery
Not Recruiting
Trial ID: NCT03781440
Purpose
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.
Official Title
Regional Anesthesia for Cardiothoracic Enhanced Recovery for Patients Undergoing Cardiac Surgery Via Sternotomy
Stanford Investigator(s)
Jessica Brodt
Clinical Associate Professor, Anesthesiology, Perioperative and Pain Medicine
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)
- Symptomatic heart failure (systolic or diastolic)
Intervention(s):
procedure: Bilateral ESP catheter with lidocaine
procedure: Bilateral ESP catheter with saline
Not Recruiting
Contact Information
Stanford University
School of Medicine
300 Pasteur Drive
Stanford,
CA
94305
Archana Verma