Serratus Posterior Superior Intercostal Plane Block: A Technical Report on the Description of a Novel Periparavertebral Block for Thoracic Pain.
Serkan Tulgar, Bahadır Ciftci, Ali Ahiskalioglu...
https://pubmed.ncbi.nlm.nih.gov/36883093Actively Recruiting
Age: 18Years - 80Years
All Genders
ID07287761
Comparison of Erector Spinae Plane Block and Serratus Posterior Superior Intercostal Plane Block in Postoperative Pain Management After Coronary Artery Bypass Grafting: A Prospective, Observational Study
Led by Ankara Education and Research Hospital · Updated on 2025-12-17
60
Participants Needed
1
Research Sites
8 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are studying two different regional anesthesia methods to manage pain after Coronary Artery Bypass Grafting (CABG), a common heart surgery done through a chest incision called median sternotomy. This observational study compares the Erector Spinae Plane Block (ESPB) and the Serratus Posterior Superior Intercostal Plane Block (SPSIPB) to see which provides better pain relief and fewer side effects in patients aged 18 to 80 years classified as ASA II or III. Effective pain control is important to help recovery, reduce opioid use, and prevent complications after surgery. Patients scheduled for elective CABG will receive either the ESPB or SPSIPB based on which block the anesthesiologist finds most suitable during surgery using ultrasound imaging. Both groups will get the same general anesthesia and a bilateral injection of 30 mL of 0.25% Bupivacaine in their assigned block. After surgery, all patients will use an intravenous patient-controlled analgesia (PCA) device with a standard dose and lockout time to manage pain. During the study, researchers will track opioid use during and after surgery, pain scores at different times after breathing tube removal, and any side effects related to opioids. They will also measure the time until patients need additional pain medication and how long it takes to remove the breathing tube. The study starts in November 2025 and ends in May 2026, aiming to improve pain management strategies after CABG.
CONDITIONS
Brief Title
Comparison of Erector Spinae Plane Block and Serratus Posterior Superior Intercostal Plane Block in Postoperative Pain Management After Coronary Artery Bypass Grafting
Who Can Participate
Age: 18Years - 80Years
All Genders
Eligibility Criteria
You may qualify if you...
- Patients scheduled for elective Coronary Artery Bypass Grafting (CABG) via median sternotomy
- Age between 18 and 80 years
- Classification of American Society of Anesthesiologists (ASA) Physical Status Class II or III
- Patients who provide written and verbal informed consent to participate in the study
You will not qualify if you...
- Patients who do not provide consent
- Age older than 80 years or ASA Physical Status Class > III
- Patients who do not understand the Numerical Rating Scale (NRS) or have communication difficulties
- Patients with a known history of coagulation disorders or bleeding disorders
- Patients with skin infection at the site of peripheral nerve block application
- Patients with Morbid Obesity (Body Mass Index BMI>35 kg/m2)
- Patients with chronic pain, opioid or substance dependence, or who use chronic analgesics
- Patients with known allergy to local anesthetics
- Patients with liver or kidney function disorders
- Patients with a history of previous median sternotomy operation
- Patients undergoing emergency surgery
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Surgery and Immediate Post-operative Care
Duration - Day of surgery and immediate recovery period
Participants undergo Coronary Artery Bypass Grafting (CABG) with either the Erector Spinae Plane Block or Serratus Posterior Superior Intercostal Plane Block administered intraoperatively for postoperative pain management.
1 surgical procedure visit and immediate post-operative monitoring
Post-operative Follow-up
Duration - Up to 24 hours post-extubation
Participants are monitored for pain control and opioid consumption up to 24 hours after extubation using a standardized intravenous patient-controlled analgesia device.
Continuous monitoring during hospital stay
Trial Site Locations
Total: 1 location
1
Ankara Training and Research Hospital
Ankara, Altındag, Turkey (Türkiye), 06230
Actively Recruiting
Loading map...
Research Team
A
Abdullah KONAN, M.D
S
Suna AKIN TAKMAZ, M.D
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
2
Similar Trials
Frequently Asked Questions
Have more questions? Get in touch with our team for quick support
Not the Right Trial for You?
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here
Published Research Related To This Trial
Patients' perception of postoperative pain management: validation of the International Pain Outcomes (IPO) questionnaire.
Judith Rothaug, Ruth Zaslansky, Matthias Schwenkglenks...
https://pubmed.ncbi.nlm.nih.gov/24021577The Elongation Factor Spt6 Maintains ESC Pluripotency by Controlling Super-Enhancers and Counteracting Polycomb Proteins.
A Hongjun Wang, Aster H Juan, Kyung Dae Ko...
https://pubmed.ncbi.nlm.nih.gov/29033324Poststernotomy pain: a clinical review.
Michael Mazzeffi, Yury Khelemsky
https://pubmed.ncbi.nlm.nih.gov/21955825