Optimal Timing of Parasternal Intercostal Nerve Block Application for Acute Pain Management in Cardiac Surgery - Trial NCT05363540
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Study Focus
Sponsor & Location
Benha University
Timeline & Enrollment
N/A
Mar 22, 2022
Nov 15, 2022
Primary Outcome
Amount of rescue analgesia
Summary
Patients experiencing pain after undergoing cardiac surgery may also experience prolonged
 immobilization, insufficient respiratory functions, and the inability to cough due to median
 sternotomy. Therefore, duration of mechanical ventilation, length of intensive care unit
 (ICU) stay, and length of hospital stay of these patients will increase significantly.
 
 many facial plane blocks have been introduced as simple and safe intervention for thoracic
 wall anesthesia and analgesia. Parasternal intercostal nerve block (PSIB) is a superficial
 block which involves local anesthetic (LA) infiltration in the intercostal space around the
 sternum where the anterior branches of intercostal nerves exist.
 
 Intraoperative LA administration under direct vision of the surgeon ensures adequate delivery
 of drugs and minimizes bleeding complication or inadvertent administration in blood vessels.
 Meanwhile, Preoperative administration of LA guided by ultrasound imaging has been used in
 variable surgical settings with noticeable success because of preemptive inhibition of
 noxious stimuli.
ICD-10 Classifications
Data Source
ClinicalTrials.gov
NCT05363540
Non-Device Trial