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NCT Number: NCT07622823

Fascial Plane Blocks In Cardiac Surgery

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.

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Key information

Conditions

Cardiovascular Surgery Postoperative Analgesia Regional Anaesthesia

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

University of Health Sciences, Antalya Training and Research Hospital

Antalya, Turkey (Türkiye)

Location status: Recruiting

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

PIFPB + RIFPB

Other

The procedure is performed under ultrasound guidance in a separate regional anaesthesia room during the preoperative period, under standard ASA monitoring.

PIFPB + RSB

Other

The procedure is performed under ultrasound guidance in a separate regional anaesthesia room during the preoperative period, under standard ASA monitoring.

Control

Other

Regional anesthesia is not applied.

Primary outcomes

  1. postoperative opioid consumption

    Time frame: 48 hours

Secondary outcomes

  1. postoperative recovery quality

    Time frame: 24 hours

    TThe Quality of Recovery-15 (QoR-15) is a 15-question questionnaire validated to assess poetoperative recovery. This questionnaire assesses patients' pain, physical comfort, physical independence, psychological support, and emotional status in the erly postoperative period. The patient is asked to express their status scoring from 0 to 10; therefore, the total score ranges from 0 to 150 points.

  2. postoperative pain scores

    Time frame: 48 hours

    The NRS score (0=no pain; 10=most severe pain) will be used to assess postoperative pain

  3. chronic pain

    Time frame: 3 months

    Patients will be telephoned 3 months after the operation and the presence, localization, and intensity of the pain, its character, and its relation with rest and/or activity will be recorded by asking only verbally. The NRS score (0=no pain; 10=most severe pain) will be used to assess postoperative pain.

Study contacts

Contact information is provided by the study sponsor or research team.

Arzu Karaveli

CONTACT

[email protected]

+905325611300

Sponsors and collaborators

Lead sponsor

Antalya Health Sciences University

Other

Registry information

Official study 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

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Jun 3, 2026
Registry last updated
Jun 3, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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