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Completed

NCT Number: NCT06625580

Ultrasound-Guided Serratus and Transversus Thoracic Muscle Plane Block Vs. Erector Spinae Plane Block for Acute Poststernotomy Pain

Poststernotomy pain represents a complication that can arise following cardiac surgery. Inadequately managed pain has been linked to various adverse outcomes, including myocardial ischemia, cardiac arrhythmias, heightened coagulation tendencies, pulmonary complications, and elevated incidences of delirium and wound infections.

The Erector Spinae Plane (ESP) block, Serratus Anterior Plane (SAP) block, and Transverse Thoracic Muscle Plane (TTMP) block are demonstrated as effective regional anesthesia techniques for sternotomy pain. While these blocks differ in ease of application and efficacy, the optimal analgesic approach for cardiac surgery remains unclear. The aim of this study is to compare the analgesic efficacy of ultrasound-guided SAP and TTMP blocks combination versus ESP block administered alone in patients undergoing open heart surgery.

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Key information

Conditions

Pain, Acute Acute Pain Chest Pain Neurologic Manifestations Pain Pain, Chest Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Ataturk University

Erzurum, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Cardiac Surgery with median sternotomy (valvular and coronary surgeries)

Exclusion criteria

  • Minimal invasive cardiac surgeries
  • Revision surgeries (during postoperative 48 hours)
  • Redo cardiac surgeries
  • Any contraindications for regional anesthesia technique (any allergies for local anesthetics)
  • Preoperative chronic opioid usage

Treatment and study plan

transverse thoracic muscle plane and serratus anterior plane block

Procedure

ultrasound guided transverse thoracic muscle plane block and serratus anterior plane block will be performed with 0.25% bupivacaine

Erector Spinae Plane Block

Procedure

ultrasound guided erector spinae plane block will be performed with 0.25% bupivacaine

Primary outcomes

  1. Postoperative opioid consumption

    Time frame: Postoperative 48 hours

    postoperative opioid consumption will be recorded for 48 hours

Secondary outcomes

  1. Postoperative Visual Analog Scale

    Time frame: Postoperative 48 hours

    Postoperative Visual Analog Scale assessment will be performed

Sponsors and collaborators

Lead sponsor

Ataturk University

Other

Registry information

Official study title

Comparison of Ultrasound-Guided Serratus Anterior and Transversus Thoracic Muscle Plane Block Combination Versus Erector Spinae Plane Block for Acute Poststernotomy Pain Management After Cardiac Surgery

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Oct 3, 2024
Registry last updated
Oct 3, 2024

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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