Comparing Two Types of Fascial Plane Blocks Combined with Pectointercostal Block for Better Recovery After Open-Heart Surgery

What this Trial Is About

Researchers are investigating how combining different regional pain relief techniques affects recovery after open-heart surgery using median sternotomy. This trial focuses on the pectointercostal fascial plane block PIFB, which targets nerves around the sternum to control pain. The study also compares two other blocksrectus sheath block RSB and retro-intercostal fascial plane block RIFBto see if RIFB works as well as RSB, offering more options for pain management in cardiac surgery patients. Participants will be assigned to one of three groups one receiving only the bilateral PIFB, another receiving PIFB plus bilateral RSB, and a third receiving PIFB plus bilateral RIFB. These blocks are performed using ultrasound guidance with local anesthetic injections at specific anatomical sites either after anesthesia induction or at surgery end. The study aims to assess if combining these blocks improves postoperative pain control and recovery quality. Throughout the study, participants recovery will be monitored using the Turkish version of the Quality of Recovery-15 scale at 24 hours post-extubation as the main outcome, with additional assessments at 48 hours and before discharge. Pain intensity will be measured at multiple time points using the Numerical Rating Scale. Researchers will also track opioid use, side effects, and any complications related to the nerve blocks during the hospital stay, which typically lasts 5 to 7 days.

Fascial Plane Blocks and Quality of Recovery in Cardiac Surgery