Efficacy of Parasternal Blocks in Cardiovascular Surgery Patients Undergoing Median Sternotomy: Randomized, Controlled Study

Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Acute and chronic pain after cardiac surgery is a common problem that negatively affects quality of life. Postoperative pain after cardiac surgery is most intense in the first two days and decreases in the following period. However, postoperative pain with incomplete management in the acute period may become chronic. This may negatively affect the patient's quality of life. Although central blocks such as thoracic epidural and paravertebral blocks are considered the gold standard in analgesia control, the advantages of thoracic plan blocks, which are more superficial due to peroperative heparinisation; coagulation disorders; and procedural difficulties, are undeniable. Thoracic plane blocks, which can also be used in patients receiving anticoagulant and/or antiplatelet therapy, have recently been used for acute pain. The aim of this study was to evaluate the effect of thoracic plane blocks on extubation time, pain scores, intensive care unit (ICU) and hospital stays in patients undergoing median sternotomy.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 80
Healthy Volunteers: f
View:

• Performing median sternotomy

• Elective case

• Over 18 years of age; under 80 years of age

• ASA II-III patients

Locations
Other Locations
Turkey
Kosuyolu High Education and Training Hospital
RECRUITING
Istanbul
Contact Information
Primary
omer savluk
dromersavluk@hotmail.com
+905056877440
Time Frame
Start Date: 2024-02-01
Estimated Completion Date: 2025-08-01
Participants
Target number of participants: 300
Treatments
Active_comparator: 1. control group
control group. block will not be applied to this group and the patient's analgesia needs will be provided with patient-controlled analgesia devices.
Active_comparator: 2. superficial parasternal plane block group
superficial parasternal plane block group. superficial paraasternal plane block will be applied to this group. it will be applied to the parasternal region with ultrasound after the patient is intubated. patient-controlled analgesia devices will be used for additional postoperative pain needs.
Active_comparator: 3. deep parasternal plane block group
deep parasternal plane block group. deep paraasternal plane block will be applied to this group. it will be applied to the parasternal region with ultrasound after the patient is intubated. patient-controlled analgesia devices will be used for additional postoperative pain needs.
Related Therapeutic Areas
Sponsors
Leads: Kartal Kosuyolu Yuksek Ihtisas Education and Research Hospital

This content was sourced from clinicaltrials.gov