Comparison of Erector Spinae Plane Block and Modified Pectoral Fascial Plane Block for Postoperative Analgesia in Pediatric Cardiac Surgery

Sponsor
Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital
Study ID
NCT07740915
Status
Enrolling By Invitation

Conditions

  • Anesthesia
  • Congenital Heart Disease
  • Postoperative Pain After Cardiac Surgery Via Median Sternotomy

Eligibility Criteria

Sex
ALL
Age
0 Years - 18 Years
Healthy Volunteers
Not accepted

Interventions

  • Ultrasound-Guided Erector Spinae Plane Block — PROCEDURE
    Ultrasound-guided erector spinae plane block will be performed bilaterally after induction of general anesthesia and before surgical incision to provide postoperative analgesia in pediatric patients undergoing congenital cardiac surgery.
  • Ultrasound-Guided Modified Pectoral Fascial Plane Block — PROCEDURE
    Ultrasound-guided modified pectoral fascial plane block will be performed bilaterally after induction of general anesthesia and before surgical incision to provide postoperative analgesia in pediatric patients undergoing congenital cardiac surgery.

Study Details

Postoperative pain management is an essential component of perioperative care in pediatric congenital cardiac surgery. Regional anesthesia techniques, including the erector spinae plane block (ESPB) and modified pectoral fascial plane block (M-PFPB), are increasingly used as part of multimodal analgesia; however, evidence directly comparing these techniques in pediatric cardiac surgery remains limited. This prospective randomized controlled study aims to compare the analgesic efficacy of ESPB and M-PFPB in pediatric patients undergoing elective congenital cardiac surgery. The primary objective is to identify the regional anesthesia technique associated with more effective postoperative pain control. Secondary objectives include comparison of perioperative opioid consumption, hemodynamic parameters, extubation time, postoperative pain scores, perioperative complications, and intensive care unit and hospital length of stay. The findings are expected to contribute to the optimization of perioperative analgesia protocols and improve postoperative recovery in pediatric cardiac surgery.

Key Dates

First listed
Aug 3, 2026
Start date
Jun 30, 2026
Status verified
Jul 2026
Primary completion
Aug 15, 2026
Completion
Aug 30, 2026

Study Design

Enrollment
40 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Active Comparator: Erector Spinae Plane Block
    Participants randomized to this group will receive an ultrasound-guided erector spinae plane block (ESPB) as part of multimodal perioperative analgesia before elective congenital cardiac surgery. Standard perioperative anesthesia and postoperative analgesia protocols will be applied to all participants
  • Active Comparator: Modified Pectoral Fascial Plane Block
    Participants randomized to this group will receive an ultrasound-guided modified pectoral fascial plane block (M-PFPB) as part of multimodal perioperative analgesia before elective congenital cardiac surgery. Standard perioperative anesthesia and postoperative analgesia protocols will be applied to all participants.

Primary Outcome Measure

Total Postoperative Opioid Consumption [ Time Frame: 24 hours postoperatively ]

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