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

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-01

Study Completion Date

2024-07-01

Brief Summary

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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.

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Detailed Description

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Conditions

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Pain, Acute Pain, Chest

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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ultrasound guided transverse thoracic muscle plane block and serratus anterior plane block

ultrasound guided transverse thoracic muscle plane block and serratus anterior plane block will be performed with %0.25 bupivacaine

Group Type ACTIVE_COMPARATOR

transverse thoracic muscle plane and serratus anterior plane block

Intervention Type PROCEDURE

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

Group Type ACTIVE_COMPARATOR

erector spinae plane block

Intervention Type PROCEDURE

ultrasound guided erector spinae plane block will be performed with 0.25% bupivacaine

Interventions

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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

Intervention Type PROCEDURE

erector spinae plane block

ultrasound guided erector spinae plane block will be performed with 0.25% bupivacaine

Intervention Type PROCEDURE

Eligibility Criteria

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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

Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes