Pectointercostal Fascial Plane Block Versus Transversus Thoracic Plane Block In Adult Cardiac Surgery Patients

  • End date
    Dec 23, 2022
  • participants needed
  • sponsor
    Alexandria University
Updated on 23 April 2022


The study will be designed to compare the analgesic effect of ultrasound-guided pectointercostal fascial plane block versus tansversus thoracic plane block in adult cardiac surgery.


A prospective study will be carried out in Alexandria Main University Hospitals on 60 adult patients planned for elective cardiac surgery, after approval of the Ethical Committee of Faculty of Medicine, Alexandria, and having an informed written consent taken from patients included in the study. Patients will be categorized into two equal groups; group P (n=30)) will receive ultrasound-guided pectointercostal fascial plane block and group T (n=30) will receive ultrasound-guided transversus thoracic plane block.

All patients will receive the ultrasound-guided block after induction of anesthesia and an equal booster dose of the same block before extubation in the ICU. Patients in both groups will also receive an ultrasound-guided bilateral serratus anterior plane block before extubation.

Condition Pain, Post Operative
Treatment ultrasound guided regional block
Clinical Study IdentifierNCT05323305
SponsorAlexandria University
Last Modified on23 April 2022


Yes No Not Sure

Inclusion Criteria

Adult patient
Elective cardiac surgery

Exclusion Criteria

Refusal to participate
Redo or urgent cardiac surgery
Local infection of the skin at the site of needle puncture
Allergy to bupivacaine
Coagulation disorders
Clinically significant liver or kidney disease, heart failure, moderate to severe pulmonary hypertension
when extubation is intentionally planned to be delayed
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