Effect of an ultrasound guided Chest wall Nerve block on pain relief and recovery after Open Heart Surgery

Impact of Pecto-Intercostal Block on Postoperative Opioid Consumption and Recovery Profile in Patients undergoing Cardiac Surgeries via Sternotomy A Randomized Controlled Study - Nil

Status

Active, not recruiting

Phases

Phase 4

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2026/07/113715

Enrollment

Registered

2026-07-08

Start date

Unknown

Completion date

Unknown

Last updated

2026-08-03

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: 0.25% Bupivacaine with 8mg Dexamethasone: Local anaesthetic mixture of 0.25% bupivacaine 30ml + 8mg Dexamethasone (2ml) 16ml each side for pecto intercostal plane block Control Interven

Eligibility

Inclusion criteria

Inclusion criteria: 1.Elective cardiac surgery through median sternotomy. 2.ASA physical status II or III. 3.Written informed consent. 4.Able to use NRS scale for postoperative pain assessment.

Exclusion criteria

Exclusion criteria: 1.Refusal to participate. 2.Allergy to Local anaesthetic or dexamethasone. 3.Coagulopathy or contraindication to regional block. 4.Infection at block site. 5.Previous sternotomy. 6.Chronic opioid use. 7.Emergency surgery. 8.Severe hepatic or renal dysfunction or pulmonary disease. 9.Pregnancy or lactating mothers. 10.perioperative cardiac arrest or preoperative mechanical circulatory support or preoperative LVEF less than 25 percentage.

Design outcomes

Primary

Measure	Time frame
Total opioid consumption in first 24 hours from extubation.Timepoint: Total opioid consumption in first 24 hours from extubation.	—

Secondary

Measure	Time frame
1. Postoperative pain scores (NRS) at rest and on coughing at 2,6,12,24 hours. 2. Time for extubation 3. Time for first rescue analgesia and total no of rescue analgesia administered in 24hrs after extubation. 4. Hemodynamic parameters during extubation and 24hr after extubation monitored in same time intervals as pain assessment. 5. Patient satisfaction score in 24 hours after extubation. 6. Block-related complications, if any.Timepoint: 18 months	—

Measure

Time frame

1. Postoperative pain scores (NRS) at rest and on coughing at 2,6,12,24 hours. 2. Time for extubation 3. Time for first rescue analgesia and total no of rescue analgesia administered in 24hrs after extubation. 4. Hemodynamic parameters during extubation and 24hr after extubation monitored in same time intervals as pain assessment. 5. Patient satisfaction score in 24 hours after extubation. 6. Block-related complications, if any.Timepoint: 18 months

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Countries

India

Contacts

Public ContactDr Gaurav Goyal

Mahatma Gandhi University of medical sciences and thechnology, Jaipur

drgauravgoyal@gmail.com9982190343

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Aug 10, 2026