Parasternal Block Combined With Rectus Sheath Block for Cardiac Surgery Under Sternotomy (PARARECTUS)

Campus Bio-Medico University of Rome

Status: Completed

Conditions: Postoperative Pain; Cardiac Disease; Surgery; Analgesia; Acute Pain

Treatments: Procedure: PARASTERNAL BLOCK; Procedure: LOCAL INFILTRATION OF DRAINAGE EXIT SITES; Procedure: RECTUS SHEATH BLOCK

Study type: Interventional

Funder types: Other

Identifiers

NCT05764616

PAR 06.23

Details and patient eligibility

About

The aim of this randomized controlled trial is to examine the effect of ultrasound guided bilateral Parasternal Nerve Block combined with rectus sheath block on preoperative analgesia, opioid consumption and respiratory function in patients undergoing cardiac surgery via sternotomy. Half of participants will receive General Anesthesia combined with bilateral parasternal block and rectus sheath block while the other half receive General Anesthesia combined with bilateral parasternal block and infiltration of drainage exits sites with local anesthetic (without performing rectus sheath block)

Enrollment: 58 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients undergoing elective cardiac surgery under median sternotomy
• Age >= 18 years
• American Society of Anesthesiologists (ASA) Status I-IV
• Approval and sign of the informed consent

Exclusion criteria

• Allergy to local anesthetics
• Puncture site infection
• Lack of signing of informed consent
• Age <18 years
• Emergency surgery
• ASA > IV
• preoperative acute respiratory failure

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

58 participants in 2 patient groups

RECTUS group

Experimental group

Description:

Patients will receive General Anesthesia combined with bilateral parasternal block and rectus sheath block

Treatment:

Procedure: RECTUS SHEATH BLOCK

Procedure: PARASTERNAL BLOCK

CONTROL group

Active Comparator group

Description:

Patients will receive General Anesthesia combined with bilateral parasternal block and infiltration of drainage exits sites with local anesthetic

Treatment:

Procedure: LOCAL INFILTRATION OF DRAINAGE EXIT SITES

Procedure: PARASTERNAL BLOCK