Doppler Evaluation of Ultrasound-guided Pectointercostal Fascial Plane Block in Cardiac Surgery

Recruiting

• Conditions: Cardiovascular Surgery
• Interventions: Other: Control group; Other: PIFP block group

• Registration Number: NCT06413290
• Lead Sponsor: Antalya Training and Research Hospital

Brief Summary

The aim of this study was to evaluate the effect of pectointercostal fascial plane block on regional haemodynamic parameters in patients undergoing cardiac surgery.

Detailed Description

Perioperative pain management has become an important component of Enhanced Recovery After Surgery (ERAS) protocols in patients undergoing cardiac surgery. Pain is most intense in the first two days after cardiac surgery. Inadequate pain control has been shown to cause an increase in pulmonary complications due to inadequate mobility and coughing, an increase in sympathetic activation, an increase in myocardial infarction and thromboembolic events, delayed wound healing, and prolonged hospital and intensive care unit stay. Non-steroidal anti-inflammatory drugs (NSAIDs), paracetamol, opioids, epidural anesthesia and ultrasound-guided fascial plane blocks are widely used for pain management after cardiac surgery. The pectointercostal fascial plane (PIFP) block is an ultrasound-guided, superficial fascial plane block that can be applied as part of multimodal postoperative analgesia, especially after cardiac surgery. PIFB block has been shown to reduce postoperative analgesic consumption and improve pain scores not only in patients undergoing cardiac surgery but also in non-cardiac surgeries and thoracic procedures. The aim of this study was to evaluate the effect of PIFP block on regional haemodynamic parameters in patients undergoing cardiac surgery.

Study Timeline

• Status Verified: 2024-04
• Study First Submitted: 2024-04-24
• Study First Submitted QC: 2024-05-10
• Study First Posted: 2024-05-14
• Study Start: 2024-05-15
• Last Update Submitted: 2024-05-17
• Last Update Posted: 2024-05-17
• Primary Completion: 2024-09-29
• Study Completion: 2024-10-29

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• elective cardiac surgery
• over 18 years, adult
• American Society of Anaesthesiology (ASA) I-III

Exclusion Criteria

• history of cerebrovascular disease
• history of Alzheimer's disease
• mental disorder
• emergency surgery
• re-operated due to surgery-related complications
• allergy to local anaesthetics
• declining to give written informed consent

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Control group	Control group	No intervention
PIFP block group	PIFP block group	Before the anesthesia induction, PIFP block will be performed

Primary Outcome Measures

Name	Time	Method
blood volume	1 hour	The regional haemodynamic impact of PIDB block will be evaluated by Doppler ultrasound

Secondary Outcome Measures

Name	Time	Method
postoperative opioid consumption	24 hours	The amount of postoperative opioid consumption will be recorded
postoperative Numerical Rating Scale (NRS) pain scores	24 hours	The postoperative pain intensity will be assessed with NRS pain scores (0=no pain, 10=worst possible pain)
length of hospital stay	5 days	The interval from the end of the surgery until the patient's discharge will be recorded.

Trial Locations

Locations (1)

University of Health Sciences, Antalya Training and Research Hospital; 🇹🇷 Antalya, Muratpaşa, Turkey