Actively Recruiting
Effect of Parasternal Plane Block on Intraoperative Nociception
Led by Diskapi Yildirim Beyazit Education and Research Hospital · Updated on 2026-02-02
60
Participants Needed
1
Research Sites
28 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Effective pain control during pediatric cardiac surgery remains a major clinical challenge, particularly in procedures involving median sternotomy, which is associated with intense nociceptive stimulation. Inadequate intraoperative analgesia may lead to increased opioid requirements, hemodynamic instability, delayed extubation, and prolonged intensive care unit stay. Objective monitoring of nociception may provide valuable information beyond conventional hemodynamic parameters in this vulnerable population. This prospective randomized controlled study aims to evaluate the effect of ultrasound-guided parasternal plane block on intraoperative nociception in pediatric patients undergoing cardiac surgery with median sternotomy. Intraoperative nociception will be objectively assessed using the Pain Index Monitor (PAM), based on skin conductance measurements. The results of this study are expected to provide objective evidence regarding the efficacy of parasternal plane block in attenuating nociceptive responses during pediatric cardiac surgery and to support the integration of regional anesthesia techniques and objective nociception monitoring into perioperative pain management strategies for children.
CONDITIONS
Official Title
Effect of Parasternal Plane Block on Intraoperative Nociception
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age between 6 months and 7 years
- Scheduled for elective congenital cardiac surgery
- Planned median sternotomy
- American Society of Anesthesiologists (ASA) physical status II or III
- Hemodynamically stable preoperative condition
- Written informed consent obtained from a parent or legal guardian
You will not qualify if you...
- Emergency surgery or redo sternotomy
- Age less than 6 months or greater than 7 years
- American Society of Anesthesiologists (ASA) physical status I or greater than III
- Severe neurological disorders preventing reliable use of behavioral pain scales
- Failure to obtain written informed consent from a parent or legal guardian
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 1 location
1
Ankara Etlik City Hospital
Ankara, Turkey (Türkiye), 06000
Actively Recruiting
Research Team
E
Elif Şule Özdemir Sezgi
CONTACT
A
Aslı Dönmez
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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