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
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Postoperative opioid consumption
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Cardiac Surgery with median sternotomy (valvular and coronary surgeries)
排除标准
- •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
结局指标
主要结局
Postoperative opioid consumption
时间窗: Postoperative 48 hours
postoperative opioid consumption will be recorded for 48 hours
次要结局
- Postoperative Visual Analog Scale(Postoperative 48 hours)
研究者
Muhammed E Aydin
Associate Professor
Ataturk University