Intrapleural ropivacaine after heart surgery
Official title: Intrapleural Ropivacaine Infusion in Cardiac Surgery: Randomized Double-blind Controlled Study
Run by Saint Petersburg State University, Russia · NCT07116343 · Data updated 2026-11-12
This study will test whether putting ropivacaine into the pleural space through chest drains reduces pain and improves recovery for adults after heart surgery.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 116 (estimated) |
| Sponsor | Saint Petersburg State University, Russia Academic / other |
| Locations | 2 sites (Saint Petersburg and 1 other locations) |
| Status | Recruiting |
| Started | October 22, 2025 |
| Main results expected | September 25, 2027 |
| Study ends | December 1, 2027 |
| Registry record updated | March 10, 2026 |
| Trial ID | NCT07116343 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (over 18) scheduled for cardiac surgery via median sternotomy with planned pleural opening who can give informed consent and have no contraindication to ropivacaine are ideal candidates.
✕Probably not a fit
Patients who are undergoing redo cardiac surgery, those with contraindications to ropivacaine, or patients who do not have pleural drains are unlikely to benefit from this intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a randomized, double-blind, placebo-controlled Phase 4 trial comparing intrapleural ropivacaine infusion to saline in adults having cardiac surgery with planned opening of the pleural cavities. After median sternotomy and placement of pleural drains, participants receive either ropivacaine or 0.9% NaCl through the drains for the early postoperative period. Outcomes include postoperative pain, opioid consumption, quality of recovery, and safety/complications related to the local anesthetic. The trial is conducted at university and regional hospital sites in Russia.
Why it matters
Potential benefit: If successful, patients could experience less chest pain, lower opioid needs, and a faster recovery after heart surgery.
How similar studies have gone: Prior intrapleural anesthetic use after thoracic surgery has shown safety and reduced pain, though evidence specifically in cardiac surgery is more limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Scheduled cardiac surgery using a standard median sternotomy. * Planned opening of the pleural cavities. * Age more than 18 years. * Signed informed consent to participate in the study. Exclusion Criteria: * Contraindications for ropivacaine * Redo surgery
Where it's running
-
Saint-Petersburg university hospital
Saint Petersburg, Russia Recruiting -
Primorskiy general hospital #1
Vladivostok, Russia Recruiting
Study contacts
- Study coordinator: Sergey M Efremov, MD, PhD
- Email: efremovsergm@gmail.com
- Phone: 79137946090
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.