Ignite Creation Date:
2024-05-06 @ 8:17 PM
Last Modification Date:
2024-10-26 @ 3:24 PM
Study NCT ID:
NCT06326320
Status:
RECRUITING
Last Update Posted:
2024-03-25
First Post:
2024-03-17
Brief Title:
Combined SAPB in MICS
Sponsor:
Ankara City Hospital Bilkent
Organization:
Ankara City Hospital Bilkent
Study Overview
Official Title:
The Effects of Combined Serratus Anterior Plane Block on Postoperative Acute Pain After Minimally Invasive Cardiac Surgery
Status:
RECRUITING
Status Verified Date:
2024-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Minimally invasive cardiac surgery MICS has begun to be performed frequently in recent years Compared to sternotomy MISC reduces the risk of mediastinitis leaves a more aesthetic scar facilitates postoperative rehabilitation and shortens the hospital stay MICS requires a thoracic incision in the right 4th or 5th intercostal space This incision causes intense and long-lasting pain in the postoperative period Pain is exacerbated by breathing movements coughing and respiratory physiotherapy
Postoperative analgesia is a critical risk factor for the development of pulmonary and cardiovascular complications in any type of cardiothoracic surgery If patients with high pain levels cannot breathe effectively it may lead to atelectasis cardiac ischemia and arrhythmias This prolongs the time it takes for patients to be discharged and increases the frequency of postoperative pulmonary complications and postoperative morbidity
In addition to intravenous medications various neuraxial and peripheral nerve blocks can be used in cardiac surgery In recent years thoracic epidural analgesia has been avoided due to the use of intraoperative high-dose heparin As an alternative peripheral nerve blocks have recently gained popularity SAPB is one of them SAPB can be applied in three ways While deep SAPB DSAPB is applied under the serratus anterior muscle superficial SAPB SSAPB is applied above the serratus anterior muscle Combined SAPB CSAPB is applied both below and above the serratus anterior muscle These blocks can be performed with a single injection anywhere between the second and seventh ribs on the lateral chest wall
In this study the analgesic effects of ultrasound-guided CSAPB application in patients undergoing MICS will be evaluated
Postoperative analgesia is a critical risk factor for the development of pulmonary and cardiovascular complications in any type of cardiothoracic surgery If patients with high pain levels cannot breathe effectively it may lead to atelectasis cardiac ischemia and arrhythmias This prolongs the time it takes for patients to be discharged and increases the frequency of postoperative pulmonary complications and postoperative morbidity
In addition to intravenous medications various neuraxial and peripheral nerve blocks can be used in cardiac surgery In recent years thoracic epidural analgesia has been avoided due to the use of intraoperative high-dose heparin As an alternative peripheral nerve blocks have recently gained popularity SAPB is one of them SAPB can be applied in three ways While deep SAPB DSAPB is applied under the serratus anterior muscle superficial SAPB SSAPB is applied above the serratus anterior muscle Combined SAPB CSAPB is applied both below and above the serratus anterior muscle These blocks can be performed with a single injection anywhere between the second and seventh ribs on the lateral chest wall
In this study the analgesic effects of ultrasound-guided CSAPB application in patients undergoing MICS will be evaluated
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None