Efficacy of Serratus Posterior Superior Intercostal Plane Block on Post-operative Pain in Cardiac Surgery.

Condition(s) studied

Investigational drug(s) / intervention(s)

conventional opioid-based technique: Control Group: Participants will receive general anaesthesia with a conventional opioid-based technique

SPSIPB Group: SPSIPB Group: Participants will receive an ultrasound-guided Serratus posterior superior intercostal plane block with 30 ml 0.25% bupivacaine per side pre-incision and general anaesthesia with opioid based fentanyl

Study summary

Cardiac surgery, particularly procedures involving median sternotomy, is associated with significant postoperative pain. Acute postoperative pain is severe in cardiac patients undergoing sternotomy, and pain intensity is more severe than expected. Poorly controlled pain after surgery can lead to myocardial ischemia and pulmonary infections.Regional anesthesia techniques offer a promising alternative or adjunct to systemic opioids, providing targeted pain relief with fewer systemic side effects. The Serratus Posterior Superior Intercostal Plane Block (SPSIPB) is a novel regional anesthesia technique that involves injecting local anesthetic into the fascial plane between the serratus posterior superior muscle and the intercostal muscles

Eligibility

Primary outcome measure(s)

• Total postoperative fentanyl consumption — the first 24 and 48 hours post-extubation.
  will be measured as the total amount of fentanyl (in micrograms) consumed via PCA

Trial sites (1)

More Alexandria University trials in Egypt

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