Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT06233318

Sternotomy PIFB Block in Open Heart Surgery

Led by Ohio State University · Updated on 2025-03-27

84

Participants Needed

1

Research Sites

171 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The purpose of this study is to evaluate if the use of a bilateral nerve block with a local anesthetic (ropivacaine), as part of a standard of care pain control regimen (called multimodal analgesia \[MMA\]), has a favorable effect on our institutional MMA pain regimen. Subjects will go through the following study procedures: review of medical history and medications subjects have taken within a month prior to surgery. Subjects will be randomly assigned to one of the two study groups (1:1) to receive either, an ultrasound-guided bilateral nerve block (called "Pecto-Intercostal Fascial Block \[PIFB\]") with ropivacaine or saline 0.9 solution, in addition to our institutional MMA regimen. A baseline line pain and nausea scores will be recorded before surgery. The block will be performed right after general anesthesia induction. The details about the surgery will be collected. Pain assessments, nausea and vomiting scores will be registered at 12, 24 and 48 hours after surgery as well. Lastly, a follow up phone call will be made by the research team to conduct a pain-detect questionnaire at 30, 60 and 90 days after surgery.

CONDITIONS

Official Title

Sternotomy PIFB Block in Open Heart Surgery

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adult male or female patients aged > 18
  • Undergoing primary cardiac surgery requiring sternotomy
  • Able to provide a signed written informed consent
  • Able to speak, read, and write in English
  • American Society of Anesthesiologists (ASA) physical status I-IV
Not Eligible

You will not qualify if you...

  • Documented cognitive or psychological disorders affecting pain perception
  • Diabetes Mellitus with documented neuropathic pain
  • Pregnant females, prisoners, or breastfeeding individuals
  • Contraindications to nerve block including local infections, bleeding disorders, chest wall deformity, allergy to local anesthetic or dexamethasone
  • Previous cardiac surgery
  • History of chronic pain diseases requiring consistent analgesic therapy for at least 1 month prior to surgery
  • Any medical condition deemed exclusionary by the principal investigator
  • Body mass index (BMI) ≥ 40 kg/m2

AI-Screening

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Trial Site Locations

Total: 1 location

1

The Ohio State University Wexner Medical Center

Columbus, Ohio, United States, 43210

Actively Recruiting

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Research Team

A

Alberto A Uribe

CONTACT

J

Jeremy Reeves

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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