The goal of this clinical trial is to study postoperative analgesia in patients undergoing CABG. And learn if tafalgin (tyrosyl-D-arginyl-phenylalanyl-glycine amid) treats pain not inferiory then morphine. The main questions it aims to answer are: Does tafalgin (tyrosyl-D-arginyl-phenylalanyl-glycine amid) lower the VAS score same way as a morphine? What medical problems do participants have when taking tafalgin (tyrosyl-D-arginyl-phenylalanyl-glycine amid)? Participants will: Group (1)- subcutaneous single dose of morphine 10 mg would be administred based on VAS score \> 3 during 24 hours after CABG. Exprimental group (2)- subcutaneous single dose of tafalgin (tyrosyl-D-arginyl-phenylalanyl-glycine amid) - 0.4 mg would be administred based on VAS score \> 3 during 24 hours after CABG. Efficacy was assessed using the VAS scale decreassion. Hemodynamic parameters and arterial blood gases were also assessed.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
100
Postoperative analgesia after CABG with tafalgin
Postoperative analgesia wtih morphine
Primorsky Regional General Hospital #1
Vladivostok, Outside US, Russia
RECRUITINGVisual Analogue Scale (VAS)
The pain VAS is a unidimensional measure of pain intensity, used to record patients' pain progression or compare pain severity between patients
Time frame: 24 hours after CABG
Arterial Blood Gases (ABGs) pH
Arterial blood gases are a diagnostic test measuring pH levels in arterial blood to evaluate lung function and acid-base balance.
Time frame: 24 hours after CABG
Arterial Blood Gases (ABGs) oxygen (PaO2) levels
Arterial blood gases are a diagnostic test measuring oxygen (PaO2) levels in arterial blood to evaluate lung function and acid-base balance.
Time frame: 24 hours after CABG
Arterial Blood Gases (ABGs) carbon dioxide (PaCO2) levels
Arterial blood gases are a diagnostic test measuring carbon dioxide (PaCO2) levels in arterial blood to evaluate lung function and acid-base balance.
Time frame: 24 hours after CABG
Haemodynamics evaluation (Intra-arterial blood pressure (IABP))
Intra-arterial blood pressure (IABP) monitoring provides continuous, real-time arterial pressure measurement, serving as the gold standard for managing hypertension in critical care.
Time frame: 24 hours after CABG
Haemodynamics evaluation (Heart rate (HR))
This assessment evaluates cardiac function, identifies rhythm irregularities
Time frame: 24 hours after CABG
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