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Superficial Parasternal Intercostal Plane Block in Cardiac Surgery Trial

Post-cardiac Surgery | Chronic Pain | Post-operative Pain | Opioid Use Disorder | Anesthesia,...

The goal of this clinical trial is to assess whether the use of intermittent superficial parasternal intercostal plane blocks reduces opioid usage in patients undergoing cardiac surgery with median sternotomy.

Participants randomized to the intervention group will receive the blocks with 0.2% ropivacaine administered via catheters placed in the superficial parasternal intercostal plane bilaterally under ultrasound guidance. Researchers will compare this group with a control group given 0.9% saline through similarly placed catheters. The primary outcome will be cumulative postoperative opioid use (measured as Milligram Morphine Equivalent (MME)) up to 72 hours following catheter insertion.

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Participation Requirements

  • Sex:

    ALL
  • Eligible Ages:

    18 and up

Participation Criteria

Inclusion Criteria:

* Adult patients undergoing cardiac surgery via median sternotomy

Exclusion Criteria:

* Redo sternotomy, or cardiac surgery performed through non-sternotomy approaches (minimally invasive procedures, thoracotomies, mini-sternotomy, hemi-sternotomy, etc.)
* Emergency procedures (surgery within 2 hours)
* Clinical instability which in the judgement of the investigator precludes enrollment or participation in the study
* Weight \< 50kg
* Active systemic bacterial infection including infective endocarditis or pre-existing sternal infections
* Surgery for infective endocarditis
* Pregnancy or nursing
* Chronic opioid/narcotic use \> 6 weeks, active use of illicit drugs, long-term opioid exposure or chronic pain disorder/syndromes
* Allergies to amide anesthetic agents or any components of study interventions
* Inability to comply with, or participate in, protocol (i.e. cognitive impairment/altered mental status/neurological deficit or disorder, inability to provide informed consent, inability to complete pain rating scales, etc.)
* Receipt of an investigational drug or device within past 7 days

Study Location

St. Michael's Hospital
St. Michael's Hospital
Toronto, Ontario
Canada

Contact Study Team

Foothills Medical Centre
Foothills Medical Centre
Calgary, Alberta
Canada

Contact Study Team

Backup Contact

Alex Gregory

[email protected]
Primary Contact

Christopher Noss

[email protected]
(403) 944-1110
QEII Health Sciences Centre
QEII Health Sciences Centre
Halifax, Nova Scotia
Canada

Contact Study Team

Backup Contact

Jamie Dougherty, MD

[email protected]
Primary Contact

Pieter De Jager, MD

[email protected]
(902) 473-2700
Royal Columbian Hospital
Royal Columbian Hospital
Vancouver, British Columbia
Canada

Contact Study Team

Primary Contact

Pawel Martinka, MD

[email protected]
(604) 520-4253
Study Sponsored By
Unity Health Toronto
Participants Required
More Information
Study ID: NCT06028126