Ignite Creation Date:
2024-05-06 @ 6:40 PM
Last Modification Date:
2024-10-26 @ 2:52 PM
Study NCT ID:
NCT05743231
Status:
RECRUITING
Last Update Posted:
2023-02-24
First Post:
2023-01-13
Brief Title:
Comparison of InterpectoralSerratus Anterior Block With Erector Spinae Block in Minimally Invasive Cardiac Surgery
Sponsor:
Namik Kemal University
Organization:
Namik Kemal University
Study Overview
Official Title:
Comparison of Interpectoral Area BlockSerratus Anterior Area Block With Erector Spinae Block in Minimally Invasive Cardiac Surgery Effect on Postoperative Pain and Recovery Randomized Clinical Study
Status:
RECRUITING
Status Verified Date:
2023-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Adequate pain management after minimally invasive cardiac surgery is essential for early ambulation and patient satisfaction However an incision similar to thoracotomy surgery is made by entering between the ribs and a severely painful postoperative period is experienced as the intercostal nerves are cut
Invasive cardiac surgery is necessary surgery that can take steps to improve the quality of life and functional status of patients without sternotomy However patients may experience intense pain in the immediate postoperative period which can lead to inactivity increased risk of complications and greater consumption of opioids resulting in adverse effects and prolonged hospital stays Pain management is challenging due to a large number of dermatomes covered
Interpectoral plane block serratus anterior plane block defined in 2012 has been used in many studies before as part of multimodal analgesia in minimally invasive cardiac surgery Erector spinae block was also described in 2018 with positive results which has been used in both sternotomies open heart surgery and minimally invasive procedures Minimally invasive cardiac surgery can be excruciating in the postoperative period just like thoracotomy surgeries What is aimed in this study is to compare two previously known regional anesthesia techniques in this study
Invasive cardiac surgery is necessary surgery that can take steps to improve the quality of life and functional status of patients without sternotomy However patients may experience intense pain in the immediate postoperative period which can lead to inactivity increased risk of complications and greater consumption of opioids resulting in adverse effects and prolonged hospital stays Pain management is challenging due to a large number of dermatomes covered
Interpectoral plane block serratus anterior plane block defined in 2012 has been used in many studies before as part of multimodal analgesia in minimally invasive cardiac surgery Erector spinae block was also described in 2018 with positive results which has been used in both sternotomies open heart surgery and minimally invasive procedures Minimally invasive cardiac surgery can be excruciating in the postoperative period just like thoracotomy surgeries What is aimed in this study is to compare two previously known regional anesthesia techniques in this study
Detailed Description:
Minimally invasive cardiac surgery is necessary surgery that can take steps to improve the quality of life and functional status of patients without sternotomy However patients may experience intense pain in the immediate postoperative period which can lead to inactivity increased risk of complications and greater consumption of opioids resulting in adverse effects and prolonged hospital stays Pain management is challenging due to a large number of dermatomes covered
The interpectoral plane block serratus anterior plane block seems to cover the thoracic dermatomes It has been the subject of many studies in the same surgical group Minimally invasive cardiac surgery can be excruciating in the postoperative period just like thoracotomy surgeries What is aimed of this study is to compare it with erector spinae block in this study Additional anesthetic techniques such as peripheral nerve blocks are part of the multimodal analgesic strategy and are often used to manage acute pain better Inadequate treatment can lead to persistent pain conditions Although numerous nerve blocks exist for this purpose some may fail because they do not cover the thoracic dermatomes or their entire innervation The central hypothesis of this study hypothesis interpectoral plane block serratus anterior plane block defined in 2012 has been used in many previous studies as part of multimodal analgesia in minimally invasive cardiac surgery Erector spinae block was also described in 2018 with positive results that have been used in both sternotomies open heart surgery and minimally invasive procedures In this randomized clinical trial the study aims to compare the efficacy of previously known field blocks as part of multimodal analgesia in minimally invasive cardiac surgery As presented in the literature these techniques have been routinely performed so much that review articles have been written Targeted in this study preliminary results will be postoperative pain scores At Namık Kemal University anesthesia clinic It is regularly used as part of multimodal analgesia and resident training Traditional intravenous analgesia methods cause many undesirable side effects depending on the type of opioid used and they are insufficient compared to regional anesthesia methods
The main aim of this study is to investigate the effectiveness of these two methods routinely used in thoracic surgery
The interpectoral plane block serratus anterior plane block seems to cover the thoracic dermatomes It has been the subject of many studies in the same surgical group Minimally invasive cardiac surgery can be excruciating in the postoperative period just like thoracotomy surgeries What is aimed of this study is to compare it with erector spinae block in this study Additional anesthetic techniques such as peripheral nerve blocks are part of the multimodal analgesic strategy and are often used to manage acute pain better Inadequate treatment can lead to persistent pain conditions Although numerous nerve blocks exist for this purpose some may fail because they do not cover the thoracic dermatomes or their entire innervation The central hypothesis of this study hypothesis interpectoral plane block serratus anterior plane block defined in 2012 has been used in many previous studies as part of multimodal analgesia in minimally invasive cardiac surgery Erector spinae block was also described in 2018 with positive results that have been used in both sternotomies open heart surgery and minimally invasive procedures In this randomized clinical trial the study aims to compare the efficacy of previously known field blocks as part of multimodal analgesia in minimally invasive cardiac surgery As presented in the literature these techniques have been routinely performed so much that review articles have been written Targeted in this study preliminary results will be postoperative pain scores At Namık Kemal University anesthesia clinic It is regularly used as part of multimodal analgesia and resident training Traditional intravenous analgesia methods cause many undesirable side effects depending on the type of opioid used and they are insufficient compared to regional anesthesia methods
The main aim of this study is to investigate the effectiveness of these two methods routinely used in thoracic surgery
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None