ESP Versus PIFB for Analgesia in Open Cardiac Surgery: a Randomized Control Trial

Taichung Veterans General Hospital

Status: Not yet enrolling

Conditions: Analgesia

Treatments: Procedure: Erector spinae plane block (ESPB); Procedure: Pecto-intercostal fascial plane blok (PIFB)

Study type: Interventional

Funder types: Other

Identifiers

NCT06322810

ESP vs. PIFB

Details and patient eligibility

About

This clinical trial compares analgesia efficiency and recovery outcomes between two different fascial plane block techniques (ESPB vs.PIFB) in cardiac surgery patients participant population/health conditions].

The main questions it aims to answer are:

• Does ESPB provide superior analgesia than PIFB
• Do patients who receive ESPB have better recovery outcomes

Full description

Regional nerve blocks, including Pecto-intercostal block (PIFB) and Erector spinae plane block (ESPB), can provide a certain level of analgesia for thoracic and cardiac surgeries. This study focuses on patients undergoing their first conventional sternotomy for cardiac surgery. They are randomly assigned to receive either PIFB or ESPB for pain relief. Comparisons are made between the two groups for postoperative 48-hour analgesic medication requirements, static and dynamic postoperative pain scores, improvements in postoperative respiratory function, quality of life index (QoL15), and other clinically relevant prognostic indicators.

Enrollment: 80 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults patients, elective and first-time cardiac surgery patients undergoing traditional sternotomy. Procedures include coronary artery bypass surgery, valve repair or replacement surgery, atrial and ventricular septal defect repair surgery, and other open-heart surgeries.

Exclusion criteria

• 1. Emergency surgery 2. Anticipated combined major aortic vascular surgery 3. Already admitted to the ICU or on a ventilator before surgery.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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80 participants in 2 patient groups

Group E

Experimental group

Description:

Patients who receive erector spinae plane block(ESPB) before cardiac surgery

Treatment:

Procedure: Erector spinae plane block (ESPB)

Group P

Active Comparator group

Description:

Patients who receive Pecto-intercostal plane block(PIFB) before cardiac surgery

Treatment:

Procedure: Pecto-intercostal fascial plane blok (PIFB)