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Parasternal Intercostal Plane Catheter for Pain Control After CABG Surgery

ConditionsBypass SurgeryArrythmiaPostoperative Pain
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorKoc University Hospital

About this trial

Coronary artery bypass graft (CABG) surgery performed via sternotomy (incision of the breastbone) can cause severe pain after surgery; this can slow recovery and increase the need for opioid pain relievers. This study investigates whether placing a catheter to deliver a local anesthetic to the superficial parasternal intercostal plane reduces pain following this type of heart surgery. Patients undergoing CABG via sternotomy will be randomly assigned to either the catheter-based analgesia group or the standard pain management group. The researchers will compare postoperative pain levels and analgesic medication requirements between the two groups to determine whether this technique improves postoperative pain control.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

Under 18 years of age

ASA (American Society of Anesthesiologists) Class V patients

Non-elective emergency cases

Patient refusal to participate in the study

Trial design

Design model

Parallel

Treatments tested in this trial

  • Parasternal blocks

    Other intervention

    Bilateral superficial parasternal block catheters will be placed at the end of the surgery, at the level of 3rd rib using ultrasound guidance

Treatment groups

56 Participants
are divided into 2 treatment groups
Group A: Block groupActive comparator 1 intervention
Group B: Control groupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Cumulative opioid consumption at 24 hours post-operatively (mg morphine equivalent).

Cumulative opioid consumption (patient controlled analgesia and rescue analgesia) at the first 24 hours postoperatively

Time frame
Postoperative 24 hours

Secondary outcomes

1

Resting NRS pain scores at 12, 24, 36, 48, 60, and 72 hours post-Surgery

Resting pain levels of patients will be evaluated using the numeric rating scale where 0 point meaning no pain and 10 points meaning the worst pain possible

Time frame
at 12, 24, 36, 48, 60, and 72 hours post-Surgery
2

NRS pain scores associated with coughing at 12, 24, 36, 48, 60, and 72 hours post-Surgery

Pain levels associated with cough of patients will be evaluated using the numeric rating scale where 0 point meaning no pain and 10 points meaning the worst pain possible

Time frame
at 12, 24, 36, 48, 60, and 72 hours post-Surgery
3

Total amount of opioids consumed during the first 72 hours after surgery

Time frame
at the first 72 hours after surgery
4

Time to first rescue analgesic administration

The time when rescue analgesia is first administered during the postoperative recovery period

Time frame
The patient will be monitored for the first 72 hours after surgery.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Koc University Hospital

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: