Unique ID issued by UMIN | UMIN000044302 |
---|---|
Receipt number | R000042857 |
Scientific Title | Comparison of Continuous Thoracic Epidural and Paravertebral Blocks for postoperative Analgesia and Complications after Minimally Invasive Cardiac Surgery |
Date of disclosure of the study information | 2021/05/24 |
Last modified on | 2022/05/02 14:30:39 |
Comparison of Continuous Thoracic Epidural and Paravertebral Blocks for postoperative Analgesia and Complications after Minimally Invasive Cardiac Surgery
Comparison of Continuous Thoracic Epidural and Paravertebral Blocks for postoperative Analgesia and Complications after Minimally Invasive Cardiac Surgery
Comparison of Continuous Thoracic Epidural and Paravertebral Blocks for postoperative Analgesia and Complications after Minimally Invasive Cardiac Surgery
Comparison of Continuous Thoracic Epidural and Paravertebral Blocks for postoperative Analgesia and Complications after Minimally Invasive Cardiac Surgery
Japan |
mitral regulation
Anesthesiology | Cardiovascular surgery |
Others
NO
To compare continuous thoracic epidural analgesia and paravertebral block for postoperative analgesia in patients undergoing minimally invasive cardiac surgery for quality of analgesia, complications.
Safety,Efficacy
Confirmatory
Pragmatic
The means of postoperative NRS at 0 hours (endotracheal extubation), 2hours and 6hours.
NRS at 12hours, 24hours,48hours after extubation.
NRS at the first time after discharged hospital
Hemodynamics during operation
Postoperative course: intubation time, ICU stay, hospital stay
postoperative complications: re-intubation, Non-invasive positive pressure ventilation, pulmonary complication, arrhythmia(including new onset of atrial fibrillation or flutter), postoperative nausea and vomitting
Patient satisfaction
Side effects of epidural or paravertebral catheter insertion
Interventional
Parallel
Randomized
Individual
Single blind -participants are blinded
Active
NO
NO
Institution is not considered as adjustment factor.
YES
Central registration
2
Treatment
Medicine | Maneuver |
epidural block group:
epidural block catheter insertion the day before operation.5ml administration of 0.25% revobupivacane between anesthetic induction and operation starts.
3ml per hour continuous infusion of 0.2% revobupivacaine when cardio-pulmonary bypass starts.
The catheter is removed 48hours after extubation.
paravertebral block group:
paravertebral block catheter insertion the day before operation.10ml administration of 0.25% revobupivacane between anesthetic induction and operation starts.
6ml per hour continuous infusion of 0.2% revobupivacaine when cardio-pulmonary bypass starts.
The catheter is removed 48hours after extubation.
18 | years-old | <= |
Not applicable |
Male and Female
Adults elective cardiac surgical patients undergoing minimally invasive cardiac surgery with lateral thoracotomy under cardiopulmonary bypass
under 18 years
re-operation
hepatic disorder
renal disorder
low platelet
coagulation disorder
intake of anticoagulant or antiplatelet drugs
chest deformity
mental illness
malignant disease
regular use of analgesics
use of steroids
collagesn disease
history of heparin-indused thrombocytopenia
allergic to heparin
allergic to local anesthetic
local infection at puncture site
disagree to this study
other reasons considered by surgeons or anesthesiologist
100
1st name | Chiho |
Middle name | |
Last name | Shimizu |
Osaka Police Hospital
Anesthesiology
5430035
Kitayama-cho 10-31, Tennoji, Osaka
0667716051
chichihoho1008@gmail.com
1st name | Chiho |
Middle name | |
Last name | Shimizu |
Osaka Police Hospital
Anesthesiology
5430035
Kitayama-cho 10-31, Tennoji, Osaka
0667715051
chichihoho1008@gmail.com
Osaka Police Hospital
Osaka police hospital
Other
Osaka Police Hospital
Kitayama-cho 10-31, Tennoji, Osaka
5430035
chichihoho1008@gmail.com
NO
2021 | Year | 05 | Month | 24 | Day |
Unpublished
Open public recruiting
2019 | Year | 03 | Month | 12 | Day |
2019 | Year | 03 | Month | 12 | Day |
2019 | Year | 08 | Month | 09 | Day |
2022 | Year | 04 | Month | 30 | Day |
2021 | Year | 05 | Month | 24 | Day |
2022 | Year | 05 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042857