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Ultrasound-Guided Parasternal/Rectus Sheath Block vs Erector Spinae Plane Block for Pain Control in Cardiac Surgery

ConditionsAnalgesiaPerioperative AnalgesiaRegional Block Technique
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-80
SponsorNational Cancer Institute, Egypt

About this trial

The researchers are working to improve recovery after heart surgery by reducing reliance on opioids. Newer regional anesthesia techniques can provide strong pain relief with fewer risks, but the choice of method depends on each patient's condition, medications, and surgical plan

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Both sexes,

ASA III-IV patients

body mass index between 20- 35 kg/m2

adult patients above 18 years old will be included in the study

Disqualifiers

Patients with global hypokinesia

ejection fraction < 40%

low platelet count

coagulation impairment

Trial design

Design model

Parallel

Treatments tested in this trial

  • Parasternal/ Rectus sheath block

    Procedure/Surgery

    the parasternal block will be performed parasternally at the level of fifth rib to the plane between the pectoralis major and the internal intercostal muscle. The rectus sheath block will be performed through injection in the plane posterior to the rectus abdominis muscle and anterior to the posterior rectus sheath

  • Erector spinae plane block

    Procedure/Surgery

    injection above the transverse process

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: Parasternal/ Rectus sheathExperimental treatment 1 intervention
Group B: Erector Spinae Plane BlockExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Numeric rating score

postoperative pain scores using Numerical Rating Scale (NRS) with 0 meaning no pain and 10 meaning the worst pain level

Time frame
24 hours

Secondary outcomes

1

postoperative opioid consumption

opioid consumption in the first 24 hours postoperatively

Time frame
24 hours
2

extubation time

time to extubate

Time frame
immediate postoperative
3

first time to request analgesia

first time to request opioid analgesia

Time frame
24 hours
4

peri-operative hemodynamics

incidence of hypotension, hypertension, tachycardia and bradycardia

Time frame
intraoperative and 24 hours

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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

National Cancer Institute, Egypt

Lead sponsor

Saudi German Hospital - Madinah

Collaborator

Source ClinicalTrials.gov

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