Comparison of Ultrasound-Guided Serratus Combination Plane Blocks and Local Wound Infiltration for Postoperative Analgesia Management in Minimally Invasive Cardiac Surgery (MICS)
Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
This randomized, prospective, single-blinded study aims to compare the efficacy of ultrasound-guided serratus anterior plane (SAP) block combined with serratus-intercostal interfascial plane (SIP) block versus local wound infiltration (LWI) for postoperative analgesia in patients undergoing minimally invasive cardiac surgery (MICS). The primary outcome is total perioperative and postoperative opioid consumption. Secondary outcomes include postoperative pain scores (NRS), opioid-related side effects, block-related complications, and ICU stay duration.
Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 75
Healthy Volunteers: f
View:
• Age 18-75 years
• Undergoing MICS with left-sided 4th-5th intercostal incision
• ASA I-III
• Informed consent provided
Locations
Other Locations
Turkey
Kolan International Hospital
RECRUITING
Istanbul
Contact Information
Primary
Selcuk Alver, MD
alverselcuk@gmail.com
+905435424234
Time Frame
Start Date: 2024-10-17
Estimated Completion Date: 2025-06
Participants
Target number of participants: 60
Treatments
Experimental: SAP + SIP Block Group
Participants in this arm will receive a combination of ultrasound-guided serratus anterior plane (SAP) block and serratus-intercostal interfascial plane (SIP) block. The SAP block will be performed using 30 mL of 0.25% bupivacaine, and the SIP block will use 10 mL of 0.25% bupivacaine. Both blocks will be administered after surgery but before emergence from anesthesia.
Active_comparator: Local Wound Infiltration Group
Participants in this arm will receive local wound infiltration (LWI) consisting of 40 mL of 0.25% bupivacaine. The infiltration will be applied to the surgical and drain sites after surgery.
Related Therapeutic Areas
Sponsors
Leads: İstanbul Yeni Yüzyıl Üniversitesi