Comparison Erect Spine in Cardiac Surgery

Summary

Open cardiac surgeries are characterized by the increased use of opioids and longer extubation times, being post-sternotomy pain one of the causes of greater patient discomfort, plexus blockages have been used more frequently given the good results of anatomical studies and case series that are just beginning to be published. however, there is not enough data to convince the scientific community of its advantages, continuing to carry out its performance due to lack of evidence. Dexamethasone also shows an excellent result blocking the inflammatory chain and it was evidenced that it prolongs the time of blockages when used perineurally in the plexus blockages. This study wants to show the improvement of pain in patients who undergo this type of surgery and also show the advantages of a longer blockage, which can reduce use of analgesic and opioids, as well as decrease the time of hospitalization This is a double-blinded, randomized, clinical trial designed to determine the efficacy of spine erector whit dexamethasone gives more duration of the blockage and less pain after cardiac surgery.

Timeline

Start

2022-01-20

Primary completion

2023-02-25

Completion

2023-04-17

Publications

• Linares LAR, Martinez RCR, Carvalho VH, Navarro E Lima LH, Zeferino SP, Carneiro JO, Galas FRBG. Perineural dexamethasone as an adjuvant to erector spinae plane block for acute and chronic pain after cardiac surgery. Sci Rep. 2026 Jun 4. doi: 10.1038/s41598-026-55409-9. Online ahead of print.

Drugs

Indications