Moderate to severe postoperative pain is usually encountered after cardiac surgery.Improper postoperative pain control could have multiple hemodynamic hazards in addition to prolonged postoperative ventilatory support and intensive care unit stay .The safety and efficacy of ultrasound guided chest wall plane blocks has been described for postoperative analgesia after cardiac surgeries. Study objective: to investigate the effect of adding of pecto-intercostal fascial plane block on the postoperative pain control, perioperative analgesic consumptions and the time for ventilation weaning and intensive care unit discharge in patients who will undergo off-pump Coronary artery bypass surgeries. Methods: This study patients will be randomly assigned to 2 Groups to receive preoperative ultrasound-guided pecto-intercostal fascial plane block with either 20 mL of 0.25% bupivacaine with adrenaline 1:400,000 or saline bilaterally.
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visual analogue score
Timeframe: immediately after extubation
visual analogue score
Timeframe: 1 st hour after extubation
visual analogue score
Timeframe: 2 nd hour after extubation
visual analogue score
Timeframe: 4 th hour after extubation
visual analogue score
Timeframe: 8 th hour after extubation
visual analogue score
Timeframe: 12 th hour after extubation
visual analogue score
Timeframe: 18 th hour after extubation
visual analogue score
Timeframe: 24 th hour after extubation