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Intermittent Bolus vs Continuous Infusion Via ESP Catheters RCT
Sponsor: Henry Ford Health System
Summary
The purpose of this prospective randomized controlled trial is to compare the effectiveness of two different delivery methods for postoperative pain management following cardiac surgery requiring median sternotomy: intermittent programmed LA bolus versus continuous LA infusion through ESP catheters. Effectiveness of analgesia will be assessed based on the subjects' NRS pain scores and opioid consumption. The primary outcome measure will be the patients' opioid consumption over the course of the 72 hours following surgery. Secondary outcomes measures that will be evaluated include NRS pain scores, intensive care unit (ICU) length of stay, and time to first dose of antiemetic in the postoperative period. It is hypothesized that the use of intermittent programmed LA boluses will provide better analgesia compared to continuous LA infusion through ESP catheters. The findings of this study will provide guidance regarding the optimal method of delivery for postoperative pain management in patients following cardiac surgery.
Official title: Intermittent Bolus Versus Continuous Infusion Erector Spinae Catheters for Median Sternotomy Incisions: A Prospective Randomized Controlled Trial
Key Details
Gender
All
Age Range
18 Years - 90 Years
Study Type
INTERVENTIONAL
Enrollment
240
Start Date
2022-10-18
Completion Date
2024-12-23
Last Updated
2026-05-13
Healthy Volunteers
No
Conditions
Interventions
Continuous Infusion of ropivacaine
Continuous infusion of ropivacaine
Intermittent bolus of ropivacaine
Intermittent bolus of ropivacaine
Locations (1)
Henry Ford Hospital
Detroit, Michigan, United States