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

Not Applicable

Completed

• Conditions: Pain, Acute; Pain, Chest
• Interventions: Procedure: transverse thoracic muscle plane and serratus anterior plane block; Procedure: erector spinae plane block

• Registration Number: NCT06625580
• Lead Sponsor: Ataturk University

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Status Verified: 2023-08
• Study Start: 2023-09-01
• Primary Completion: 2024-07-01
• Study Completion: 2024-07-01
• Study First Submitted: 2024-09-22
• Study First Submitted QC: 2024-10-01
• Last Update Submitted: 2024-10-01
• Study First Posted: 2024-10-03
• Last Update Posted: 2024-10-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
ultrasound guided transverse thoracic muscle plane block and serratus anterior plane block	transverse thoracic muscle plane and serratus anterior plane block	ultrasound guided transverse thoracic muscle plane block and serratus anterior plane block will be performed with %0.25 bupivacaine
ultrasound guided erector spinae plane block	erector spinae plane block	ultrasound guided erector spinae plane block

Primary Outcome Measures

Name	Time	Method
Postoperative opioid consumption	Postoperative 48 hours	postoperative opioid consumption will be recorded for 48 hours

Secondary Outcome Measures

Name	Time	Method
Postoperative Visual Analog Scale	Postoperative 48 hours	Postoperative Visual Analog Scale assessment will be performed

Trial Locations

Locations (1)

Ataturk University; 🇹🇷 Erzurum, Turkey