PECs for Implantable Cardiac Electronic Device Insertion

Antalya Training and Research Hospital30 enrolled

Overview

The aim of this study is to evaluate the feasibility of the Pectoralis Nerve (PECS) block for CIED insertion.

Implantable Cardiac Electronic Device (CIED) insertion can be performed under local anesthesia, regional anesthesia, or general anesthesia. Novel regional blocks may improve pain management for such patients and can shorten their length of stay in the hospital. At the study, the investigators aimd to evaluate the efficacy and feasibility of the PECS block for CIED insertion procedure.

Study Type

INTERVENTIONAL

Allocation

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Cardiac Implantable Electronic Device Nerve Block Anesthesia Analgesia

Interventions

Pectoral Nerve (PECs) blockOTHER

Pectoral Nerve (PECS) blocks were performed on the side of surgery, using the ultrasound-guided technique 30 min before the implantable cardiac electronic device (pacemaker, implantable cardioverter defibrillator) insertion procedure

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * American Society of Anaesthesiologists grade II-IV patients * in the age group of 18-80 years, * Patients undergoing CIED insertion Exclusion Criteria: * pre-existing infection at the block site, * coagulopathy, * morbid obesity (Body mass index \>35 kg m-2 ), * allergy to local anaesthetics, * decreased pulmonary reserve, * psychiatric illness

Locations (1)

Antalya Training and Research Hospital

Antalya, Turkey (Türkiye)

Outcomes

Primary Outcomes

amount of intraoperative additional local anesthetic

amount of intraoperative additional local anesthetic administered by the cardiologist during the CIED insertion procedure was recorded.

Time frame: 1 hour

number of patients who requiring intraoperative additional local anesthetic

Number of patients requiring intraoperative additional local anesthetic was recorded.

Time frame: 1 hour

Secondary Outcomes

Postoperative pain scores

Postoperative pain scores were assessed by Visual Analogue Scale (VAS) scores from 0 (no pain) to 10 (maximum possible pain) for 24 hours postoperatively.

Time frame: 24 hours

time to first postoperative analgesic requirement

time to first postoperative analgesic requirement was recorded for 24 hours postoperatively

Time frame: 24 hours

patient satisfaction

Patient satisfaction was assessed by a 5-point Likert scale (ie, "1: very dissatisfied," "2: dissatisfied," "3: neutral," "4: satisfied," and "5: very satisfied") 24 hours after the procedure

Time frame: 24 hours

cardiologist satisfaction

Cardiologist satisfaction was assessed by a 5-point Likert scale (ie, "1: very dissatisfied," "2: dissatisfied," "3: neutral," "4: satisfied," and "5: very satisfied") 24 hours after the procedure

Time frame: 24 hours

Data from ClinicalTrials.gov

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