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Fascial Plane Blocks and Quality of Recovery in Cardiac Surgery

Recruitingn/aAges 18 Years - 70 YearsAllOrdu University
NCT07557108 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

In this randomized trial, the investigators will test the hypothesis that combining regional analgesia techniques-which have the potential to improve the quality of postoperative recovery following median sternotomy-with PIFB will accelerate recovery. Additionally, it is anticipated that RIFB, an alternative fascial plane block, will demonstrate non-inferior (at least as effective as) performance compared to RSB, thereby providing flexibility and ease of application in clinical practice.

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📋 Eligibility rules (as published)
Inclusion Criteria: * Patients who have provided written informed consent * Open-heart surgery performed under elective conditions via median sternotomy with cardiopulmonary bypass (on-pump) * American Society of Anesthesiologists (ASA) physical status class II or III * Aged 18-70 years Exclusion Criteria: * Off-pump surgical procedure * Emergency or repeat cardiac surgery * Known allergy to induction agents or local anesthetics * Body mass index (BMI) \>35 kg/m² * Coagulopathy * Infection at the surgical site * Left ventricular ejection fraction (LVEF) \<40% * Renal insufficiency (estimated glomerular filtration rate \<60 mL/min/1.73 m²) or hepatic insufficiency \[Presence of major systemic diseases such as acute decompensated cirrhosis characterized by bilirubin \>12 mg/dL, INR \>2.5, or hepatic encephalopathy, in accordance with the European Association for the Study of the Liver-Chronic Liver Failure Consortium criteria\] * Psychiatric disorders * History of chronic pain or regular use of analgesics (corticosteroids, analgesics, anticonvulsants) * Cognitive impairments that could interfere with the assessment of postoperative pain * Patients with impaired physical and verbal performance
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What it tests

  • Ultrasound-Guided Pectointercostal Fascial Plane Block
  • Ultrasound-Guided Rectus Sheath Block
  • Ultrasound-Guided Recto-Intercostal Fascial Plane Block
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Where

1 site
Name: Ordu University Training and Research Hospital
Ordu, Turkey (Türkiye)
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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