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Ultrasound guided chest and abdominal nerve blocks effect in decreasing the need for strong pain medicines in patients undergoing heart surgery.

Efficacy of Ultrasound-Guided Pecto-Intercostal Fascial Block Combined with Rectus Sheath Block on Opioid Consumption in Patients Undergoing Cardiac Surgery: A Double-Blind Randomized Controlled Study - Nil

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2026/04/107714
Enrollment
88
Registered
2026-04-07
Start date
Unknown
Completion date
Unknown
Last updated
2026-04-27

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

Conditions

Health Condition 1: O- Medical and Surgical

Interventions

Intervention1: Pecto Intercostal Fascial Block plus Rectus Sheath Block: Ultrasound guided Pecto Intercostal Fascial block using 20ml of 0.25%bupivacaine with 2.5mg dexamethasone on each side combined

Sponsors

Govind Ballabh Pant Institute of Post Graduate Medical Education And Research
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Patients aged 18 to 70 years planned for elective cardiac surgery on cardiopulmonary bypass(CPB) through median sternotomy .

Exclusion criteria

Exclusion criteria: 1.Hemodynamically unstable patients, Patients on intra arterial balloon pump(IABP) , preoperative inotropic support, Severe left ventricular dysfunction 2.Minimally invasive cardiac procedures 3.Patient requiring emergency surgery and redo cardiac surgery. 4.Patients with coexisting hepatic, renal or severe respiratory disease, diabetes milletus, morbid obesity , hematological disorders, psychiatric illness, cognitive impairement, alcohol and opioid abuse, pregnancy and chronic pain of non cardiac causes 5.Hypersensitivity reaction to the amide group of anesthetics and patients unwilling to be part of the study

Design outcomes

Primary

MeasureTime frame
Opioid consumption in the intraoperative period .Timepoint: Intraoperative period.(from induction of anesthesia till shifting to ICU)

Secondary

MeasureTime frame
1.Postoperative pain scores by Numerical Rating Scale (NRS) at rest and during coughing at 1st,4th,8th,12th and 24th hours after extubation. 2.Total opioid requirement within 24 hours after extubation. 3.Time to extubation . 4.Hemodynamic parameters heart rate, systolic blood pressure, diastolic blood pressure, Mean arterial pressure and oxygen saturation in the perioperative period between groups. Timepoint: Perioperative period (from indcution till 24 hours post extubation)

Countries

India

Contacts

Public ContactDr Rachna Wadhwa

Govind Ballabh Pant Institute of Post Graduate Medical Education and Research

drrachnawadhwa@gmail.com9891943326

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: May 1, 2026