Erector Spinae Block Versus Combined Pecto-intercostal and Recto-intercostal Fascial Plane Block in Cardiac Surgery
Analgesic Efficacy of Erector Spinae Plane Block Versus Combined Pecto-intercostal and Recto-intercostal Fascial Plane Block in Patients Undergoing Cardiac Surgery: A Randomized Comparative Trial
Tanta University
66 participants
Mar 20, 2025
INTERVENTIONAL
Conditions
Summary
The aim of this study is to compare the analgesic effects of ultrasound-guided bilateral erector spinae plane block versus ultrasound-guided bilateral combined Pecto-intercostal fascial plane block and recto-intercostal fascial plane block in patients undergoing cardiac surgery.
Eligibility
Inclusion Criteria3
- Age from 21 to 65 years.
- Both sexes.
- Scheduled for open heart surgery with cardiopulmonary bypass and midline sternotomy.
Exclusion Criteria5
- History of chronic pain or Long-term or recent use of opioids.
- History of allergy to local anesthetic drugs.
- Ejection fraction of left ventricle less than 30%.
- History of psychiatric diseases or any neurological disorders.
- Pre-existing major organ dysfunction as hepatic or renal failure.
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Interventions
The block will be done under ultrasound guidance using 20 ml bupivacaine 0.25% that will be injected for each side ensuring not to exceed the maximal 2 mg/kg bupivacaine dose.
The blocks will be done under ultrasound guidance using 10-15 ml of 0.25% bupivacaine that will be injected for each side ensuring not to exceed the maximal 2 mg/kg bupivacaine dose..
Locations(1)
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NCT06870383