RecruitingNot ApplicableNCT07417462

Transversus Thoracic Muscle Plane Block Versus Pectointercostal Fascial Block for Enhanced Recovery After Cardiac Surgery

Transversus Thoracic Muscle Plane Block Versus Pectointercostal Fascial Block for Enhanced Recovery After Cardiac Surgery: A Randomized Controlled Trial

Sponsor

Assiut University

Enrollment

90 participants

Start Date

Feb 18, 2026

Study Type

INTERVENTIONAL

Conditions

Cardiac Surgery Transversus Thoracic Muscle Plane Block Pecto-intercostal Fascial Block Enhanced Recovery

Summary

This work aims to assess the analgesic efficacies of transversus thoracic muscle plane block (TTPB) and transversus thoracic muscle plane block (TTPB) for open cardiac surgeries

Eligibility

Min Age: 40 YearsMax Age: 60 Years

Inclusion Criteria5

Age from 40 to 60 years.
Both sexes.
American Society of Anesthesiology (ASA) physical status II-III.
Body mass index (BMI) \< 35 kg/m2.
Underwent cardiac surgery (coronary artery bypass graft surgery with median sternotomy).

Exclusion Criteria10

Valve replacement procedures.
Emergency operations.
Redo surgeries.
Minimally invasive approaches.
The presence of psychiatric disorders.
Cognitive impairment preventing accurate assessment using the verbal numerical rating scale (NRS).
Known hypersensitivity or a history of allergy to local anesthetics.
Had severe major organ dysfunction.
Left ventricular ejection fraction below 30%.
Pregnancy or breastfeeding.

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Interventions

OTHERPecto-intercostal fascial block

Patients will receive pecto-intercostal fascial block intraoperatively (20 ml of bupivacaine 0.25% + 1 ml dexamethasone 8 mg).

OTHERTransversus thoracic muscle plane block

Patients will receive transversus thoracic muscle plane block was performed intraoperatively (20 ml of bupivacaine 0.25% + 1 ml dexamethasone 8 mg).

OTHERSham (No Treatment)

Patients will receive bilateral superficial needle puncture at a location like transversus thoracic muscle plane block without any solution injected. Only 25 saline will be injected superficially.