Pecto-Intercostal Fascial Block Versus Transversus Thoracic Muscle Plane Block in Cardiac Surgery

Tanta University

Status: Unknown

Conditions: Postoperative Analgesia; Cardiac Surgery; Transversus Thoracis Muscle Plane Block; Pecto-Intercostal Fascial Block

Treatments: Procedure: Pecto-Intercostal Fascial Block; Procedure: Transversus Thoracis Muscle Plane Block

Study type: Interventional

Funder types: Other

Identifiers

NCT05115357

34494/2/21

Details and patient eligibility

About

The aim of this study is to compare the effect of Ultrasound-Guided Pecto-Intercostal Fascial Block versus Transversus Thoracis Muscle Plane Block on Postoperative Pain Analgesia in Cardiac Surgery

Full description

Perioperative pain management is an essential component of the enhanced recovery pathway in patients undergoing cardiac surgery. The incidence of severe acute postoperative pain after median sternotomy is as high as 49%.

Enrollment: 90 estimated patients

Sex: All

Ages: 21 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 90 adult patients of both sexes aged (21-60) scheduled for cardio-pulmonary bypass cardiac surgery (valve replacement) with midline sternotomy

Exclusion criteria

• Patients' refusal.
• Cognitive impairment.
• History of drug abuse& chronic analgesic use
• History of allergy to local anesthetics.
• Emergency surgery
• Pre-existing major organ dysfunction including hepatic or renal failure, pulmonary insufficiency and left ventricular ejection fraction < 30%
• Known coagulopathy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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90 participants in 3 patient groups

Intravenous analgesia group

No Intervention group

Description:

Patients will receive systemic intravenous analgesia only.

Pecto-Intercostal Fascial Block (PIFB) group

Experimental group

Description:

Patients will receive PIFB on each side with an injection of 19 mL of 0.25% bupivacaine plus 1 ml of 4 mg dexamethasone.

Treatment:

Procedure: Pecto-Intercostal Fascial Block

Transversus Thoracis Muscle Plane Block (TTP) group

Experimental group

Description:

Patients will receive TTP on each side with an injection of 19 mL of 0.25% bupivacaine plus 1 ml of 4 mg dexamethasone.

Treatment:

Procedure: Transversus Thoracis Muscle Plane Block