Skip to content

The effect of chest block in reducing blood pressure and heart rate perturbation to surgical incision in adult patients undergoing open heart surgeries

The efficacy of ultrasound guided pecto intercostal fascial block in attenuating haemodynamic response to sternotomy in adult patients undergoing cardiac surgeries:A prospective randomized double blind controlled trial - NIL

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2026/01/100325
Enrollment
60
Registered
2026-01-05
Start date
Unknown
Completion date
Unknown
Last updated
2026-02-02

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

Conditions

Health Condition 1: I050- Rheumatic mitral stenosis Health Condition 2: I060- Rheumatic aortic stenosis Health Condition 3: I061- Rheumatic aortic insufficiency Health Condition 4: I051- Rheumatic mitral insufficiency Health Condition 5: I251- Atherosclerotic heart disease of native coronary artery

Interventions

Intervention1: Pecto intercostal fascial block: Pecto intercostal fascial block with bupivacaine and Dexamethasone in attenuating haemodynamic response to sternotomy Control Intervention1: Pecto inter

Sponsors

Sri Venkateswara Institute of Medical Sciences
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Patients undergoing elective open heart surgery via median sternotomy

Exclusion criteria

Exclusion criteria: Inability to provide informed consent 2. Patients with urgent or emergency procedures 3. Allergy to amide type anaesthetics 4. Patients with preoperative inotropic or vasoactive drug support 5. Redo surgery 6. History of thoracotomy or mastectomy 7. Patients with a history of chronic pain or on chronic opioids or sedatives 8. Renal failure with estimated glomerular filtration rate<30mL/min (Cockcroft-Gault formula) 9. chronic liver or kidney disease 10. Patients with coagulopathies 11. Pregnanant and lactating women

Design outcomes

Primary

MeasureTime frame
to compare the percentage change in heart rate,systolic blood pressure,mean arterial presssure from the base line values at 1, 3, 5 minutes after sternotomy.Timepoint: to compare the percentage change in heart rate,systolic blood pressure,mean arterial presssure from the base line values at 1, 3, 5 minutes after sternotomy.

Secondary

MeasureTime frame
1.Total intraoperative fentanyl requirementTimepoint: From induction of Anaesthesia to shifting out to recovery room;2.Total postoperative fentanyl requirement in first 48 hours after surgeryTimepoint: 48 hours after shifting to recovery room;3.Post operative pain magnitude measured by Numerical rating scale(NRS)(Annexure-1) at 30 minutes post extubation, then every 6 th hourly upto 24 hours post extubationTimepoint: 30 min,6 hours,12 hours,18 hours,24 hours post extubation

Countries

India

Contacts

Public ContactDr Aloka Samantaray

Sri Venkateswara Institute of Medical Sciences

aloksvims@gmail.com9490713247

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 7, 2026