About this trial
In this randomized trial, the investigators will test the hypothesis that combining regional analgesia techniques-which have the potential to improve the quality of postoperative recovery following median sternotomy-with PIFB will accelerate recovery. Additionally, it is anticipated that RIFB, an alternative fascial plane block, will demonstrate non-inferior (at least as effective as) performance compared to RSB, thereby providing flexibility and ease of application in clinical practice.
Eligibility criteria
Qualifiers
Patients who have provided written informed consent
Open-heart surgery performed under elective conditions via median sternotomy with cardiopulmonary bypass (on-pump)
American Society of Anesthesiologists (ASA) physical status class II or III
Aged 18-70 years
Disqualifiers
Off-pump surgical procedure
Emergency or repeat cardiac surgery
Known allergy to induction agents or local anesthetics
Body mass index (BMI) >35 kg/m²
Trial design
Treatments tested in this trial
- Ultrasound-Guided Pectointercostal Fascial Plane Block
- Ultrasound-Guided Rectus Sheath Block
- Ultrasound-Guided Recto-Intercostal Fascial Plane Block