RecruitingNot ApplicableNCT07472296

Comparison of Erector Spinae Plane Block (ESPB) With the Combination of Superficial Parasternal Intercostal Plane Block (SPIPB) and Serratus Anterior Plane Block (SAPB) in the Management of Postoperative Sternotomy Pain in Patients Undergoing Cardiac Surgery Via Sternotomy

Sternotomi İle Kardiyak Cerrahi Planlanan Hastalarda Postoperatif Sternotomi Ağrısının Yönetiminde Erektör Spina Plan Blok (ESPB) Ile Yüzeyel Parasternal İnterkostal Plan Bloğu (SPIPB) ve Serratus Anterior Plan Bloğu (SAPB) Kombinasyonunun Karşılaştırılması

Sponsor

Uludag University

Enrollment

50 participants

Start Date

Nov 1, 2025

Study Type

INTERVENTIONAL

Conditions

Pain Management Postoperative Pain Cardiac Surgery Acute Pain Sternotomy Pain

Summary

This study aims to compare the effectiveness of two regional anesthesia techniques in managing pain for participants undergoing cardiac surgery via sternotomy. The investigators will evaluate whether the Erector Spinae Plane Block (ESPB) or a combination of the Superficial Parasternal Intercostal Plane Block (SPIPB) and Serratus Anterior Plane Block (SAPB) provides better pain control and recovery outcomes.

Eligibility

Min Age: 18 YearsMax Age: 80 Years

Inclusion Criteria4

Patients aged between 18 and 80 years.
Patients classified as American Society of Anesthesiologists (ASA) physical status I, II, or III.
Patients scheduled for elective cardiac surgery via median sternotomy.
Patients who have provided written informed consent.

Exclusion Criteria9

Pregnancy or suspected pregnancy.
Body Mass Index (BMI) \> 35 kg/m².
Known allergy or hypersensitivity to local anesthetics (e.g., bupivacaine).
Suspected coagulopathy or bleeding disorders.
Infection at the site of the regional block injection.
Severe hepatic or renal failure.
Severe neurological or psychiatric disorders.
Emergency surgical procedures.
Re-operation cases (Redo-surgery)

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Interventions

PROCEDUREErector spinae plane block (ESPB)

Bilateral ultrasound-guided ESPB is performed at the T4 or T5 vertebral level. Following skin preparation and visualization of the transverse process and erector spinae muscle, a block needle is inserted. After confirming the needle tip position between the muscle and the transverse process, 0.5 mL/kg of 0.25% Bupivacaine is injected on each side.

PROCEDURESuperficial Parasternal Intercostal Plane Block (SPIPB)

Bilateral ultrasound-guided SPIPB is performed. 0.25% Bupivacaine is administered. This is part of a combined regional analgesia technique for sternotomy.

PROCEDURESerratus Anterior Plane Block (SAPB)

Bilateral ultrasound-guided SAPB is performed. 0.25% Bupivacaine is administered. This is part of a combined regional analgesia technique for the chest wall.