Ultrasound-Guided Serratus and Transversus Thoracic Muscle Plane Block Vs. Erector Spinae Plane Block for Acute Poststernotomy Pain

Ataturk University

Status

Completed

Conditions

Pain, Chest

Pain, Acute

Treatments

Procedure: transverse thoracic muscle plane and serratus anterior plane block

Procedure: erector spinae plane block

Study type

Interventional

Funder types

Other

Identifiers

NCT06625580

ATATURK-Cardiovascular

Details and patient eligibility

About

Poststernotomy pain represents a complication that can arise following cardiac surgery. Inadequately managed pain has been linked to various adverse outcomes, including myocardial ischemia, cardiac arrhythmias, heightened coagulation tendencies, pulmonary complications, and elevated incidences of delirium and wound infections.

The Erector Spinae Plane (ESP) block, Serratus Anterior Plane (SAP) block, and Transverse Thoracic Muscle Plane (TTMP) block are demonstrated as effective regional anesthesia techniques for sternotomy pain. While these blocks differ in ease of application and efficacy, the optimal analgesic approach for cardiac surgery remains unclear. The aim of this study is to compare the analgesic efficacy of ultrasound-guided SAP and TTMP blocks combination versus ESP block administered alone in patients undergoing open heart surgery.

Enrollment

60 patients

Sex

All

Ages

18 to 75 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Cardiac Surgery with median sternotomy (valvular and coronary surgeries)

Exclusion criteria

Minimal invasive cardiac surgeries
Revision surgeries (during postoperative 48 hours)
Redo cardiac surgeries
Any contraindications for regional anesthesia technique (any allergies for local anesthetics)
Preoperative chronic opioid usage