Actively Recruiting
The Effect of Combined Rectus-Intercostal Fascial Plane Block or Rectus Sheath Block with a Pectoral-Intercostal Fascial Plane Block in Cardiac Surgery on Postoperative Opioid Use and Recovery
Led by Antalya Health Sciences University · Updated on 2026-06-03
90
Participants Needed
1
Research Sites
4 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the effects of two combined regional anesthesia techniques, the recto-intercostal fascial plane block (RIFPB) or the rectus sheath block (RSB) together with the pectoral-intercostal fascial plane block (PIFPB), on pain relief after cardiac surgery. This study aims to find better postoperative pain management methods that reduce the need for opioids, which can cause unwanted side effects. The study focuses on patients undergoing elective cardiac surgery, aiming to improve recovery and reduce risks like respiratory complications and delirium. Participants will receive either the PIFPB combined with RIFPB, PIFPB combined with RSB, or no regional anesthesia (control group). The regional anesthesia procedures are performed under ultrasound guidance before surgery in a dedicated room with standard monitoring. The three groups will be compared to assess their impact on opioid consumption and recovery. During the study, patients' opioid use will be monitored for 48 hours after surgery. Researchers will also assess quality of recovery after 24 hours, pain levels over 48 hours, and chronic pain presence after 3 months. The study is observational and will track these outcomes without altering usual care. Participation involves assessments and follow-ups over several months to evaluate the effects of the anesthesia techniques on postoperative pain and recovery.
CONDITIONS
Brief Title
Fascial Plane Blocks In Cardiac Surgery
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Elective cardiac surgery planned
- Adults aged 18 years or older
- American Society of Anaesthesiology (ASA) score I to III
You will not qualify if you...
- Under 18 years of age
- ASA score IV or above
- Contraindications for block application
- History of cardiac surgery
- Reoperation due to surgery-related complications after emergency or postoperative elective surgery
- Off-pump cardiac surgery or minimally invasive cardiac surgery
- Unable to be extubated in the intensive care unit at 24 hours postoperatively
- History of chronic pain treatment
- Chronic alcoholism or substance abuse
- Declining to give written informed consent
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Preoperative period
Participants receive one of the regional anesthesia procedures under ultrasound guidance in a preoperative regional anaesthesia room or receive no regional anesthesia if assigned to the control group.
1 visit (in-person)
Duration - Up to 3 months
Participants are monitored for opioid use, pain scores, and recovery quality during the first 48 hours after surgery, with assessment of chronic pain at 3 months.
Multiple visits during the first 48 hours and 1 visit at 3 months
Trial Site Locations
Total: 1 location
1
University of Health Sciences, Antalya Training and Research Hospital
Antalya, Turkey (Türkiye)
Actively Recruiting
Research Team
A
Arzu Karaveli
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
3
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