Меню
Идёт набор NCT07622823

Fascial Plane Blocks In Cardiac Surgery

— Наблюдательное Cardiovascular Surgery Regional Anaesthesia Postoperative Analgesia

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: PIFPB + RIFPB, PIFPB + RSB, Control.
Кому может быть актуально
Состояния в реестре: Cardiovascular Surgery, Regional Anaesthesia, Postoperative Analgesia. Базовые параметры: от 18 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Turkey (Türkiye)
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

Не всё понятно в терминах? Прочитайте наш гид для пациентов →

Официальное название

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

Обзор

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.

Подробное описание

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.

Вмешательства

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

Первичные конечные точки

  • postoperative opioid consumption [Срок оценки: 48 hours]
Вторичные конечные точки (3)
  • postoperative recovery quality [Срок оценки: 24 hours]
  • postoperative pain scores [Срок оценки: 48 hours]
  • chronic pain [Срок оценки: 3 months]

Критерии участия

Критерии включения

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

Критерии исключения

  • 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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Модель наблюдения
Только случаи

Центры проведения

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

Публикации

  • 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

Идентификаторы

NCT: NCT07622823 · 7/20

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗