Transversus Thoracis Muscle Plane Block for Postoperative Pain in Adult Cardiac Surgery

Not Applicable

Completed

• Conditions: Postoperative Pain; Chest Pain; Coronary Artery Bypass; Sternotomy

• Registration Number: NCT04591119
• Lead Sponsor: Muğla Sıtkı Koçman University

Brief Summary

Inadequate pain control after coronary artery bypass graft surgery increases mortality and results in a higher incidence of persistent poststernotomy pain syndrome. Our aim is to assess whether ultrasound-guided parasternal intercostal block (PSIB) or surgeon implied transversus thoracic muscle plane block (TTMPB) would improve the postoperative pain scores and decrease tramadol consumption better after coronary artery bypass graft surgery

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2020-10-11
• Study First Submitted QC: 2020-10-11
• Study First Posted: 2020-10-19
• Study Start: 2020-10-20
• Primary Completion: 2020-12-20
• Study Completion: 2020-12-21
• Status Verified: 2023-11
• Last Update Submitted: 2023-11-29
• Last Update Posted: 2023-12-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 75

Inclusion Criteria

• American Society of Anesthesiologists physical status II-III
• Elective coronary artery bypass graft surgery under general anesthesia

Exclusion Criteria

• American Society of Anesthesiologists physical status IV
• Emergency surgery and redo surgery
• Low cardiac output syndrome, perioperative intra-aortic balloon pump support for any reason, bleeding disorder or abnormal coagulation profile, abnormal hepatic and renal parameters, uncontrolled diabetes mellitus, chronic obstructive pulmonary disease, atrial fibrillation on anticoagulation
• Allergy to any study drugs, local infection at the block site
• Opioid abuse

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Postoperative opioid consumption	Postoperative 1st, 4th and 12th hour	Tramadol consumption will be assessed by checking patient daily drug order records

Secondary Outcome Measures

Name	Time	Method
Behavioral Pain Scale	postoperative 1st and 4th hour	A blinded nurse will assess postoperative pain while they are intubated at the 1st and 4th hour by using 3 subscale Behavioral Pain Scale which ranges from 3 (no pain) to 12 (maximum pain)
Numeric Rating Scale	Postoperative 12th and 24th hour	A blinded nurse will assess postoperative pain during resting and movement at postoperative 12th and 24th hour by using Numeric rating scale at the extubated patient by using 11-point Numerical Rating Scale which ranges from '0' (means no pain) to '10' (means worst pain imaginable)

Trial Locations

Locations (1)

Mugla Sıtkı Kocman University Training nad research Hospital; 🇹🇷 Mugla, Turkey