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A newer technique "Pectoral Nerve (Pecs) block" for Cardiac Implantable Electrical Devices (CIED) implantation in cardiac patients.

Role of Pectoral Nerves (Pecs) block for periprocedural analgesia in patients undergoing Cardiac Implantable Electronic Device (CIED) implantation.

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2019/01/017008
Enrollment
60
Registered
2019-01-09
Start date
Unknown
Completion date
Unknown
Last updated
2022-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: I429- Cardiomyopathy, unspecified

Interventions

Intervention1: Pectoral Nerve (Pecs) Block: Pecs block is an ultrasound-guided nerve block in which local anesthetic is deposited in the fascial plane between the pectoralis major and pectoralis minor

Sponsors

Department of Cardiac Anesthesia
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: (a) All patients 18-70 years of age who require CIED implantation or replacement. (b) Patients with prior MI occurring at least 40 days earlier and who have NYHA functional class II or III disease and require a CIED implantation. ( c) Patients with non-ischemic dilated cardiomyopathy and NYHA functional class II or III disease and require a CIED implantation. (d) Patients with second or third degree block who require CIED implantation.

Exclusion criteria

Exclusion criteria: Patients whose reasonable life expectancy at an acceptable functional status is Patients who are on dual antiplatelet therapy Patients having infected implant or infection at the site of CIED implantation. Patients with deranged coagulation profile (Platelet count 1.5. Patients not giving consent for the block. Patients allergic to ropivacaine. Pregnant patients.

Design outcomes

Primary

MeasureTime frame
To evaluate the requirement of ad on analgesia during the procedure and pain assessment with duration of analgesia after Pecs block for Cardiac Implantable Electronic Device (CIED) implantation.Timepoint: pain assessment is done by Visual analog scale at 2, 4, 10, 16, 20, 24 hours after surgery. add on analgesic requirement will be evaluated during the CIED implantation procedure which will be approximately 2 hours duration.—

Secondary

MeasureTime frame
To compare requirement of 1st dose of rescue analgesia time in the post-procedural period, total iv analgesic requirement, duration of Cardiac Care Unit (CCU) stay, patient satisfaction and any side effect or complication associated with procedures or drug used for analgesia.Timepoint: Up to 24 hours after the procedure or CCU stay whichever is more.—

Countries

India

Contacts

Public ContactDr Sandeep Chauhan

AIIMS New Delhi

sdeep61@yahoo.com

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026