- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06413290
Doppler Evaluation of Ultrasound-guided Pectointercostal Fascial Plane Block in Cardiac Surgery
May 17, 2024 updated by: Antalya Training and Research Hospital
The aim of this study was to evaluate the effect of pectointercostal fascial plane block on regional haemodynamic parameters in patients undergoing cardiac surgery.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Perioperative pain management has become an important component of Enhanced Recovery After Surgery (ERAS) protocols in patients undergoing cardiac surgery.
Pain is most intense in the first two days after cardiac surgery.
Inadequate pain control has been shown to cause an increase in pulmonary complications due to inadequate mobility and coughing, an increase in sympathetic activation, an increase in myocardial infarction and thromboembolic events, delayed wound healing, and prolonged hospital and intensive care unit stay.
Non-steroidal anti-inflammatory drugs (NSAIDs), paracetamol, opioids, epidural anesthesia and ultrasound-guided fascial plane blocks are widely used for pain management after cardiac surgery.
The pectointercostal fascial plane (PIFP) block is an ultrasound-guided, superficial fascial plane block that can be applied as part of multimodal postoperative analgesia, especially after cardiac surgery.
PIFB block has been shown to reduce postoperative analgesic consumption and improve pain scores not only in patients undergoing cardiac surgery but also in non-cardiac surgeries and thoracic procedures.
The aim of this study was to evaluate the effect of PIFP block on regional haemodynamic parameters in patients undergoing cardiac surgery.
Study Type
Observational
Enrollment (Estimated)
40
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Arzu Karaveli
- Phone Number: +90 2422494400
- Email: arzukaraveli@hotmail.com
Study Locations
-
-
Muratpaşa
-
Antalya, Muratpaşa, Turkey
- Recruiting
- University of Health Sciences, Antalya Training and Research Hospital
-
Contact:
- Antalya Training and Research Hospital
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Sampling Method
Non-Probability Sample
Study Population
It is planned to include ASA I-III adult patients who are planned to undergo elective cardiac surgery
Description
Inclusion Criteria:
- elective cardiac surgery
- over 18 years, adult
- American Society of Anaesthesiology (ASA) I-III
Exclusion Criteria:
- history of cerebrovascular disease
- history of Alzheimer's disease
- mental disorder
- emergency surgery
- re-operated due to surgery-related complications
- allergy to local anaesthetics
- declining to give written informed consent
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Control group
No intervention
|
No intervention
|
PIFP block group
Before the anesthesia induction, PIFP block will be performed
|
Ultrasound-guided PIFP block will be performed approximately 30 minutes before surgery in patients undergoing cardiac surgery
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
blood volume
Time Frame: 1 hour
|
The regional haemodynamic impact of PIDB block will be evaluated by Doppler ultrasound
|
1 hour
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
postoperative opioid consumption
Time Frame: 24 hours
|
The amount of postoperative opioid consumption will be recorded
|
24 hours
|
postoperative Numerical Rating Scale (NRS) pain scores
Time Frame: 24 hours
|
The postoperative pain intensity will be assessed with NRS pain scores (0=no pain, 10=worst possible pain)
|
24 hours
|
length of hospital stay
Time Frame: 5 days
|
The interval from the end of the surgery until the patient's discharge will be recorded.
|
5 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Study Director: Arzu O Karaveli, M.D., University of Health Sciences, Antalya Training and Researh Hospital
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Khera T, Murugappan KR, Leibowitz A, Bareli N, Shankar P, Gilleland S, Wilson K, Oren-Grinberg A, Novack V, Venkatachalam S, Rangasamy V, Subramaniam B. Ultrasound-Guided Pecto-Intercostal Fascial Block for Postoperative Pain Management in Cardiac Surgery: A Prospective, Randomized, Placebo-Controlled Trial. J Cardiothorac Vasc Anesth. 2021 Mar;35(3):896-903. doi: 10.1053/j.jvca.2020.07.058. Epub 2020 Jul 24.
- Ata F, Yilmaz C. Retrospective Evaluation of Fascial Plane Blocks in Cardiac Surgery With Median Sternotomy in a Tertiary Hospital. Cureus. 2023 Mar 3;15(3):e35718. doi: 10.7759/cureus.35718. eCollection 2023 Mar.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
May 15, 2024
Primary Completion (Estimated)
September 29, 2024
Study Completion (Estimated)
October 29, 2024
Study Registration Dates
First Submitted
April 24, 2024
First Submitted That Met QC Criteria
May 10, 2024
First Posted (Actual)
May 14, 2024
Study Record Updates
Last Update Posted (Actual)
May 17, 2024
Last Update Submitted That Met QC Criteria
May 17, 2024
Last Verified
April 1, 2024
More Information
Terms related to this study
Other Study ID Numbers
- 18/12
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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