Serratus posterior superior intercostal plane block for pain control after off-pump minimally invasive CABG

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This prospective, randomized study will enroll about 60 adults scheduled for elective off-pump minimally invasive CABG and randomize them to receive an ultrasound-guided serratus posterior superior intercostal plane block (SPSIPB) with bupivacaine or standard analgesic care. The SPSIPB is a fascial plane block intended to provide wide thoracic dermatomal coverage and is performed under ultrasound guidance. Primary outcomes include postoperative pain scores and opioid consumption during the immediate postoperative period, with other clinical outcomes and complications recorded. The protocol emphasizes opioid-sparing analgesia consistent with Enhanced Recovery After Surgery recommendations.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients aged 18-75 years
* ASA physical status II-III
* Scheduled for elective off-pump minimally invasive coronary artery bypass grafting (CABG) surgery
* Ability to understand and use the Numerical Rating Scale (NRS)
* Ability to provide written informed consent

Exclusion Criteria:

* Refusal to participate in the study
* Known allergy or contraindication to local anesthetics
* Coagulation disorders or ongoing anticoagulant therapy incompatible with regional anesthesia
* Infection at the block injection site
* Severe hepatic or renal dysfunction
* Chronic opioid use or opioid dependence
* History of chronic pain syndromes
* Severe pulmonary disease (e.g., advanced COPD)
* Neurological or psychiatric disorders that may interfere with pain assessment
* Emergency surgery
* Conversion to on-pump CABG or sternotomy during surgery

Where it's running

• Kosuyolu High Specialization Training and Research Hospital
  Istanbul, Turkey (Türkiye) Recruiting

Study contacts

• Principal investigator: Mustafa Burgaç, himself — mustafaburgac@outlook.com
• Study coordinator: Mustafa Burgaç, himself
• Email: mustafaburgac@gmail.com
• Phone: 538 984 8198

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.