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

Antalya Training and Research Hospital

Status: Completed

Conditions: Cardiovascular Surgery

Treatments: Other: PIFP block group; Other: Control group

Study type: Observational

Funder types: Other

Identifiers

NCT06413290

18/12

Details and patient eligibility

About

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

Full 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.

Enrollment: 40 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

40 participants in 2 patient groups

PIFP block group

Description:

Before the anesthesia induction, PIFP block will be performed

Treatment:

Other: PIFP block group

Control group

Description:

No intervention

Treatment:

Other: Control group