Serratus Anterior Plane Block, Subcutaneous ICD, Transversus Thoracis Plane Block
Conditions
Keywords
Serratus anterior plane block, Transversus thoracis plane block, SICD
Brief summary
This is a prospective randomized study. The aim is to investigate the efficacy of a combined SAPB with TTPB for perioperative pain control compared to the standard local anesthetic infiltration technique in adult patients undergoing SICD implantation. The hypothesis is that the combined plane block provides better pain control compared to the standard local infiltration technique.
Interventions
PROCEDURECombined serratus anterior plane block and transversus thoracis plane block
The study group will receive a combined plane block by a dedicated anesthesia team prior to their procedure. 20 mL of local anesthetic (0.25% bupivacaine) will be injected for the Serratus anterior plane block and another 20 mL of local anesthetic (0.25% bupivacaine) will be injected in transversus thoracis plane block
PROCEDUREStandard local infiltration technique
Local anesthetic infiltration of the incision sites will be performed by the cardiologist prior to, and as, necessary during the procedure. The amount of local anesthetic used will be determined intraoperatively by the cardiologist according to the patients' requirements.
Sponsors
New York Presbyterian Brooklyn Methodist Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Participants are not informed about which block they are receiving 1 study personnel assess the pain scores and patient satisfaction postoperative
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patient is able to provide a written informed consent. * Patient is scheduled to have an elective SICD implantation procedure. * Patient has none of the
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain score measured | 1 day | by Numerical Rating Scale pain (0-10), 0 is no pain, 10 is the worst |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative sedation score | Intraoperative | Richmond Agitation Sedation Scale (RASS) (+4 to -5) +4 combative -5 unarousable |
| Total local anesthetic volume used | Intraoperative | Total local anesthetic volume used |
| Procedure duration | Intraoperative | Procedure duration |
| Intraoperative hemodynamics | Intraoperative | Intraoperative hemodynamics |
| Intraoperative pain score measured | Intraoperative | by Numerical Rating Scale pain |
| Postoperative opioid consumption | 1 day | Amount of opioids consumed after surgery |
| Patient satisfaction | 1 day | How much is the patient satisfied with the pain management in the perioperative period |
| Block related complications | 1 day | Any complications that may happen from either blocks, e.g infection, bleeding |
| Time to 1st rescue pain medication | 1 day | Time to 1st rescue pain medication after surgery |
Countries
United States
Outcome results
None listed