PIFPB-based blocks to aid pain relief after cardiac surgery
Official title: The Effect Of Combined Rectus-Intercostal Fascial Plane Block Or Rectus Sheatf Block With A Pectoral-Intercostal Fascial Plane Block In Cardiac Surgery On Postoperative Opioid Consumption, Quality Of Recovery, And Chronic Pain: A Prospective, Observational Study
Run by Antalya Health Sciences University · NCT07622823 · Data updated 2026-11-12
This observational study tests whether combining a pectoral-intercostal fascial plane block with either a recto-intercostal fascial plane block or a rectus sheath block can improve postoperative pain control for adults undergoing elective cardiac surgery.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 90 (estimated) |
| Sponsor | Antalya Health Sciences University Academic / other |
| Locations | 1 site (Antalya) |
| Status | Recruiting |
| Started | June 1, 2026 |
| Main results expected | November 1, 2026 |
| Study ends | December 1, 2026 |
| Registry record updated | June 3, 2026 |
| Trial ID | NCT07622823 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) undergoing elective cardiac surgery, ASA I–III, eligible for regional block procedures and able to provide consent.
✕Probably not a fit
Patients with ASA IV or higher, off-pump or minimally invasive surgeries, or contraindications to regional blocks may not benefit from these interventions.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study evaluates the effect of regional anesthesia techniques on pain control after cardiac surgery. Participants receive either PIFPB with RIFPB, or PIFPB with RSB, or serve as controls receiving standard care. The aim is to see if these blocks reduce opioid needs and improve recovery after surgery. The approach is observational, focusing on real-world analgesia outcomes in adults 18 years and older with ASA I–III undergoing elective procedures. Safety and feasibility of these blocks in the cardiac surgery population are also assessed.
Why it matters
Potential benefit: If successful, patients may experience better pain relief with less opioid use after cardiac surgery, potentially aiding recovery and reducing opioid-related side effects.
How similar studies have gone: Previous research supports the use of regional blocks to improve analgesia in cardiac surgery, but data on specific combinations like PIFPB with RIFPB or RSB are limited, making this approach somewhat novel for this setting.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * elective cardiac surgery planned * over 18 years, adult * American Society of Anaesthesiology (ASA) score I-III Exclusion Criteria: * under 18 years of age, * ASA IV and above, * contraindications for the block application * history of cardiac surgery, * reoperated due to surgery-related complications after emergency surgery or postoperative elective surgery, * off-pump cardiac surgery or minimally invasive cardiac surgery * unable to be extubated in the intensive care unit at 24 hours postoperatively * history of chronic pain treatment * chronic alcoholism and substance abuse * declining to give written informed consent
Where it's running
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University of Health Sciences, Antalya Training and Research Hospital
Antalya, Turkey (Türkiye) Recruiting
Study contacts
- Principal investigator: Arzu Karaveli — University of Health Sciences, Antalya Training and Research Hospital
- Study coordinator: Arzu Karaveli
- Email: arzukaraveli@hotmail.com
- Phone: +905325611300
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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.