Study of Two Pain Relief Methods to Improve Recovery After Open Heart Surgery in Adults Aged 40 to 60

What this Trial Is About

Researchers are evaluating the pain relief effects of two ultrasound-guided regional anesthesia techniques, the transversus thoracic muscle plane block TTPB and the pecto-intercostal fascial block PIFB, in patients undergoing open cardiac surgery. This study focuses on managing the significant pain that occurs after sternotomy, which is a common and painful part of cardiac surgery, especially within the first 24 hours post-operation. Participants will be randomly assigned to one of three groups receiving PIFB, receiving TTPB, or receiving a sham procedure with superficial saline injection. Both PIFB and TTPB blocks are performed intraoperatively using bupivacaine combined with dexamethasone to target nerves supplying the anterior chest wall. The sham group receives superficial needle punctures without active anesthetic injection. During the study, participants analgesic requirements, pain levels, need for rescue pain medication, nausea and vomiting, time to extubation, ICU stay duration, delirium assessment, patient satisfaction, and any complications will be monitored primarily within 24 hours and up to 7 days after surgery. The total participation lasts up to the completion of the postoperative assessments, with the primary outcomes focused on pain control and recovery measures after cardiac surgery.

Assessment of a Multimodal Analgesia for Enhanced Recovery After Cardiac Surgery