Effect of PECS II, Parasternal and Serratus Plane Blocks on Postoperative Pain in MIDCAB Surgery
NCT ID: NCT06584981
Last Updated: 2025-12-09
Study Results
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Basic Information
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COMPLETED
NA
88 participants
INTERVENTIONAL
2024-09-01
2025-06-30
Brief Summary
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INTRODUCTION: The frequency of minimally invasive cardiac surgery has increased in recent years. With this method, Coronary artery bypass graft (CABG) operations can be performed without sternotomy. It is a beneficial method for early postoperative mobilization, early recovery and better aesthetic appearance. Since there is a surgical intervention between the ribs, pain control is important in these patients.
METHOD: In the preoperative evaluation of patients planned for CABG, PECS II, parasternal and serratus plane blocks are routinely recommended for postoperative pain control. Consent for the procedure is obtained from patients who accept this procedure. After induction and before the surgical incision, these block applications are performed under sterile conditions under the guidance of ultrasonography. Standard intravenous analgesic agents are applied to our patients who do not accept block applications. The hospital core system files of our patients who underwent cardiac surgery with minimally invasive intervention in our hospital between January 1, 2021 and December 31, 2021 will be scanned retrospectively. Patients with and without block application will be divided into two groups. From our patients' files; Demographic data, extubation time, drain site and incision site pain at the 1st, 2nd, 4th, 12th, 24th, 48th and 72nd hours after extubation will be noted. In addition, it will be noted whether there is a need for additional rescue analgesia in cases where block is performed. The data obtained will be evaluated statistically and the results will be published in national or international scientific journals.
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Detailed Description
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Conditions
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Study Design
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NON_RANDOMIZED
CROSSOVER
SCREENING
NONE
Study Groups
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Patients who underwent block
Patients who underwent pectoral nerve block (PECS II), parasternal and serratus plane blocks will be included in this group.
pectoral nerve block (PECS II), parasternal and serratus plane blocks
These block applications are performed under sterile conditions under the guidance of ultrasonography
Patients who did not receive block
Patients who were not given a block and received standard intravenous analgesics will be included in this group.
analgesic
Analgesia needs of patients who do not receive blockade are met with intravenous drugs.
Interventions
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pectoral nerve block (PECS II), parasternal and serratus plane blocks
These block applications are performed under sterile conditions under the guidance of ultrasonography
analgesic
Analgesia needs of patients who do not receive blockade are met with intravenous drugs.
Eligibility Criteria
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Inclusion Criteria
* Patients who underwent MIDCAB surgery
Exclusion Criteria
* Patients who did not undergo MIDCAB surgery
18 Years
ALL
No
Sponsors
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Hisar Intercontinental Hospital
OTHER
Responsible Party
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Hasan Hüseyin KILIÇ
Hasan Huseyin Kilic
Locations
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Hisar Intercontinental Hospital
Istanbul, , Turkey (Türkiye)
Countries
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References
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Gautam S, Pande S, Agarwal A, Agarwal SK, Rastogi A, Shamshery C, Singh A. Evaluation of Serratus Anterior Plane Block for Pain Relief in Patients Undergoing MIDCAB Surgery. Innovations (Phila). 2020 Mar/Apr;15(2):148-154. doi: 10.1177/1556984520908962.
Morimoto Y, Sakata M, Ohno A, Maegawa T, Tajima S. [Effects of bofu-tsusho-san, a traditional Chinese medicine, on body fat accumulation in fructose-loaded rats]. Nihon Yakurigaku Zasshi. 2001 Jan;117(1):77-86. doi: 10.1254/fpj.117.77. Japanese.
Moll V, Ward CT, Jabaley CS, O'Reilly-Shah VN, Boorman DW, McKenzie-Brown AM, Halkos ME, Prabhakar A, Pyronneau LR, Schmidt PC. Erector Spinae Regional Anesthesia for Robotic Coronary Artery Bypass Surgery Is Not Associated With Reduced Postoperative Opioid Use: A Retrospective Observational Study. J Cardiothorac Vasc Anesth. 2021 Jul;35(7):2034-2042. doi: 10.1053/j.jvca.2020.09.112. Epub 2020 Sep 20.
Other Identifiers
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HisarH
Identifier Type: -
Identifier Source: org_study_id
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