The Use of Serratus Block for Cardiac Surgery

NYU Langone Health

Status: Completed

Conditions: Cardiac Surgery

Treatments: Procedure: Anesthetic regimen including SB or no block; Procedure: Anesthetic regimen including SB

Study type: Interventional

Funder types: Other

Identifiers

NCT03237546

17-00070

Details and patient eligibility

About

The purpose of this randomized, un-blinded study is to determine if serratus blocks or Patient Controlled Analgesia (PCA)-alone (no block) offer patients adequate pain relief. This study will compare two standard of care pain management options and the patients narcotic requirements in the immediate postoperative period.

Enrollment: 21 patients

Sex: All

Ages: 18 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients over the age of 18 years of age undergoing robotic cardiac surgery.

Exclusion criteria

• Patients who are not candidates for serratus block

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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21 participants in 2 patient groups

Serratus blocks

Active Comparator group

Description:

The serratus plane is interstitial tissue, below the serratus muscle. The injection of bupivacaine numbs the anterior branch of the thoracodorsal nerve. This technique allows for the medication to diffuse along the area of the serratus plane to provide numbing of that area. Upon completion of the block, the patient will be evaluated for extubation and emerged from general anesthesia if appropriate.

Treatment:

Procedure: Anesthetic regimen including SB

PCA-alone (no block)

Active Comparator group

Description:

All subjects will receive fentanyl intravenous patient controlled anesthesia pumps as part of standard care. The amount of fentanyl self-administered by the patient or given by a clinician during 24 hours following surgery will be compared amongst the two groups.

Treatment:

Procedure: Anesthetic regimen including SB or no block