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Recruiting NCT07622823

Fascial Plane Blocks In Cardiac Surgery

— Observational Cardiovascular Surgery Regional Anaesthesia Postoperative Analgesia

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: PIFPB + RIFPB, PIFPB + RSB, Control.
Who it may be relevant to
Registry conditions: Cardiovascular Surgery, Regional Anaesthesia, Postoperative Analgesia. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Turkey (Türkiye)
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Official title

The Effect Of Combined Rectus-Intercostal Fascial Plane Block Or Rectus Sheatf Block With A Pectoral-Intercostal Fascial Plane Block In Cardiac Surgery On Postoperative Opioid Consumption, Quality Of Recovery, And Chronic Pain: A Prospective, Observational Study

Overview

The aim of the present study is to evaluate the effects of the recto-intercostal fascial plane block (RIFPB) or the rectus sheath block (RSB) combined with the pectoral-intercostal fascial plane block (PIFPB) on postoperative analgesia in patients undergoing cardiac surgery.

Detailed description

Effective pain management after cardiac surgery is crucial in improving patient outcomes, promoting early postoperative mobilisation and minimising the risk of postoperative respiratory complications. It has indeed been shown that these patients experience moderate to severe pain during the postoperative period. While opioids are commonly used in perioperative care, they are also linked to adverse opioid-related effects. The literature suggests selecting an analgesic treatment strategy that avoids opioid-based analgesia for patients undergoing cardiac surgery during the postoperative period. Regional anaesthesia techniques are widely used in cardiac surgery patients to address concerns about the risk of myocardial and/or renal damage associated with non-steroidal anti-inflammatory drugs (NSAIDs), reduce the incidence of potential opioid-related side effects, lower the high risk of delirium and improve patient rehabilitation. However, only a limited number of studies have demonstrated the effects of the recto-intercostal fascial plane block (RIFPB) or the rectus sheath block (RSB) combined with the pectoral-intercostal fascial plane block (PIFPB) on postoperative analgesia in cardiac surgery patients. Therefore, the present study aims to evaluate the effects of the RIFPB or the RSB combined with the PIFPB on postoperative analgesia in patients undergoing cardiac surgery.

Interventions

  • Other PIFPB + RIFPB
    The procedure is performed under ultrasound guidance in a separate regional anaesthesia room during the preoperative period, under standard ASA monitoring.
  • Other PIFPB + RSB
    The procedure is performed under ultrasound guidance in a separate regional anaesthesia room during the preoperative period, under standard ASA monitoring.
  • Other Control
    Regional anesthesia is not applied.

Primary outcome measures

  • postoperative opioid consumption [Time frame: 48 hours]
Secondary outcome measures (3)
  • postoperative recovery quality [Time frame: 24 hours]
  • postoperative pain scores [Time frame: 48 hours]
  • chronic pain [Time frame: 3 months]

Eligibility criteria

Inclusion criteria

  • elective cardiac surgery planned
  • over 18 years, adult
  • American Society of Anaesthesiology (ASA) score I-III

Exclusion criteria

  • under 18 years of age,
  • ASA IV and above,
  • contraindications for the block application
  • history of cardiac surgery,
  • reoperated due to surgery-related complications after emergency surgery or postoperative elective surgery,
  • off-pump cardiac surgery or minimally invasive cardiac surgery
  • unable to be extubated in the intensive care unit at 24 hours postoperatively
  • history of chronic pain treatment
  • chronic alcoholism and substance abuse
  • declining to give written informed consent

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Observational model
Case-only

Study locations

Turkey (Türkiye) · 1 center
  • University of Health Sciences, Antalya Training and Research Hospital — Antalya

Publications

  • Grant MC, Gregory AJ, Ouanes JP. Regional analgesia for cardiac surgery. Curr Opin Anaesthesiol. 2022 Oct 1;35(5):605-612. doi: 10.1097/ACO.0000000000001169. Epub 2022 Jul 27. PMID 35900740
  • Ciftci B, Omur B, Alver S, Akin AN, Yildiz Y, Tulgar S. The Medipol Combination: Novel Rectointercostal Fascial Plane Block and Pectointercostal Fascial Plane Block for Postoperative Analgesia Management After Cardiac Surgery: A Report of 15 Cases. A A Pract. 2024 Jun 5;18(6):e01794. doi: 10.1213/XAA.0000000000001794. eCollection 2024 Jun 1. PMID 38836555

Identifiers

NCT: NCT07622823 · 7/20

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗