Fascial Plane Blocks In Cardiac Surgery

NCT07622823 | Recruiting

• 1 other identifier: 7/20
• Study Type: observational
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the present study is to evaluate the effects of the recto-intercostal fascial plane block (RIFPB) or the rectus sheath block (RSB) combined with the pectoral-intercostal fascial plane block (PIFPB) on postoperative analgesia in patients undergoing cardiac surgery.

Conditions

Regional Anaesthesia; Postoperative Analgesia; Cardiovascular Surgery

Keywords

cardiovascular surgery; pectoral-intercostal fascial plane block; recto-intercostal fascial plane block; rectus sheath block; postoperative analgesia

Outcome Measures

Primary Outcomes (1)

• postoperative opioid consumption

  48 hours

Secondary Outcomes (3)

• postoperative recovery quality

  24 hours

• postoperative pain scores

  48 hours

• chronic pain

  3 months

Study Arms (3)

PIFPB+RIFPB

Other: PIFPB + RIFPB

PIFPB+RSB

Other: PIFPB + RSB

Control

Other: Control

Interventions

PIFPB + RIFPB OTHER

The procedure is performed under ultrasound guidance in a separate regional anaesthesia room during the preoperative period, under standard ASA monitoring.

PIFPB+RIFPB

PIFPB + RSB OTHER

The procedure is performed under ultrasound guidance in a separate regional anaesthesia room during the preoperative period, under standard ASA monitoring.

PIFPB+RSB

Control OTHER

Regional anesthesia is not applied.

Control

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

It is planned to include ASA score I-IIII adult patients who are scheduled to elective cardiac surgery

You may qualify if:

• elective cardiac surgery planned
• over 18 years, adult
• American Society of Anaesthesiology (ASA) score I-III

You may not qualify if:

• under 18 years of age,
• ASA IV and above,
• contraindications for the block application
• history of cardiac surgery,
• reoperated due to surgery-related complications after emergency surgery or postoperative elective surgery,
• off-pump cardiac surgery or minimally invasive cardiac surgery
• unable to be extubated in the intensive care unit at 24 hours postoperatively
• history of chronic pain treatment
• chronic alcoholism and substance abuse
• declining to give written informed consent

Sponsors & Collaborators

• Antalya Health Sciences University: lead

Study Sites (1)

University of Health Sciences, Antalya Training and Research Hospital

Antalya, Turkey (Türkiye)

RECRUITING

Related Publications (2)

• Grant MC, Gregory AJ, Ouanes JP. Regional analgesia for cardiac surgery. Curr Opin Anaesthesiol. 2022 Oct 1;35(5):605-612. doi: 10.1097/ACO.0000000000001169. Epub 2022 Jul 27.

  PMID: 35900740 BACKGROUND

• Ciftci B, Omur B, Alver S, Akin AN, Yildiz Y, Tulgar S. The Medipol Combination: Novel Rectointercostal Fascial Plane Block and Pectointercostal Fascial Plane Block for Postoperative Analgesia Management After Cardiac Surgery: A Report of 15 Cases. A A Pract. 2024 Jun 5;18(6):e01794. doi: 10.1213/XAA.0000000000001794. eCollection 2024 Jun 1.

  PMID: 38836555 BACKGROUND

Study Officials

• Arzu Karaveli

  University of Health Sciences, Antalya Training and Research Hospital

  PRINCIPAL INVESTIGATOR

• Ceren Nida Kural

  University of Health Sciences, Antalya Training and Research Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Arzu Karaveli

CONTACT

+905325611300; arzukaraveli@hotmail.com

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 26, 2026
• First Posted: June 3, 2026
• Study Start: June 1, 2026
• Primary Completion (Estimated): November 1, 2026
• Study Completion (Estimated): December 1, 2026
• Last Updated: June 3, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)