Intra and Post Operative Pain ManagementPhase 1NCT07911943
Comparison of Analgesic Efficacy Between Ultrasound Guided Serratus Anterior Plane Block or Thoracic Paravertebral Block Versus Intravenous Fentanyl for On-pump Coronary Artery Bypass Graft Surgery
A Phase 1 study testing Serratus Anterior Plane Block (SAPB) group, Thoracic paravertebral block (TPVB) and Intravenous fentanyl 1 μg∙kg-1 in people with Intra and Post Operative Pain Management and Fast Track Program,(Enhanced Recovery After Surgery (ERAS)), run by Ain Shams University at 1 site in Egypt.
Trial summary
Aim is to compare intra and postoperative analgesic efficacy of US-guided serratus anterior plane block (SAPB) or thoracic paravertebral block (TPVB) versus intravenous fentanyl in patient undergoing on-pump CABG surgery. Read more about this study
- Who is it for?
- Ages 40 to 70 years
- Conditions the study is for
- Intra and Post Operative Pain Management, Fast Track Program,(Enhanced Recovery After Surgery (ERAS))
- What is being tested?
- Serratus Anterior Plane Block (SAPB) group, Thoracic paravertebral block (TPVB) and Intravenous fentanyl 1 μg∙kg-1
- Type of treatment
- Injection or infusion, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 111 participants
- Where
- 1 siteEgypt
- Study dates
- 1 Jan 2026to 30 Dec 2026
- Phase
- Phase 1
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 40 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age: 40-70 years.
- Sex: Males and Females.
- American Society of Anaesthesiologists (ASA) Physical Status Class III.
- Scheduled for elective on-pump isolated CABG via median sternotomy for 1 or 2 coronary vessel grafts.
- Good left ventricular systolic function with ejection fraction (EF) >50%
Who cannot join
- Declining to give a written informed consent.
- History of allergy to the medications used in the study.
- Contraindications to regional anaesthesia as patient refusal, coagulopathy [activated partial thromboplastin time ≥45 sec, prothrombin time (INR) 1.5, platelets ≤ 80,000/dl], clopidogrel within the last 7 days of the procedure, severe spinal deformity or infection at puncture site).
- Psychiatric disorders or significant cognitive dysfunction.
- American Society of Anaesthesiologists (ASA) Physical Status Class IV or higher.
- Chronic use of opioids.
Show all 11Show fewer
- Morbid obesity (BMI > 40 kg/m2).
- Patient with severe pulmonary disease.
- Patient who requires emergency CABG operation or redo cardiac surgery.
- Post operative intra-aortic balloon or extracorporeal membrane oxygenation (ECMO).
- Patient who will be operated for bleeding, tamponade or any reason for revision postoperatively.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Comparison of Analgesic Efficacy Between Ultrasound Guided Serratus Anterior Plane Block or Thoracic Paravertebral Block Versus Intravenous Fentanyl for On-pump Coronary Artery Bypass Graft Surgery: A Prospective, Randomised, Controlled Clinical Study
Aim is to compare intra and postoperative analgesic efficacy of US-guided serratus anterior plane block (SAPB) or thoracic paravertebral block (TPVB) versus intravenous fentanyl in patient undergoing on-pump CABG surgery.
Read the detailed description
Aim is to compare intra and postoperative analgesic efficacy of US-guided serratus anterior plane block (SAPB) or thoracic paravertebral block (TPVB) versus intravenous fentanyl in patient undergoing on-pump CABG surgery.
The enrolled (111) patients will be randomly assigned via a computer-generated randomization table into three parallel and equivalent (1:1:1 ratio) groups: group A (37); will receive serratus anterior plane block, group B (37);will receive thoracic paravertebral block and group C (37); standard of care control group, will receive fentanyl infusion.
Group (A):
SAPB block will be performed Bilaterally. 20 ml of 0.25% bupivacaine hydrochloride [Maracine prepared by adding an equal volume (1:1) of normal saline (0.9%) to 0.5% bupivacaine]will be injected.
Group (B):
TPVB will be performed bilaterally. 20 ml of 0.25% bupivacaine [Maracine prepared by adding an equal volume (1:1) of normal saline (0.9%) to 0.5% bupivacaine] will be injected.
Group (C) (Control):
Patient will receive IV fentanyl infusion just before skin incision, which will be stopped when cardiopulmonary bypass (CPB) is on, then resumed after weaning form CPB and continued till the end of the surgery.500µg fentanyl will be mixed with 50 ml 0.9% normal saline in 50 ml syringe (10 µg /ml).Infusion rate will be determined according to a dose of 1µg /kg/h.
- Conditions
- Intra and Post Operative Pain Management, Fast Track Program,(Enhanced Recovery After Surgery (ERAS))
- Being tested
- Serratus Anterior Plane Block (SAPB) group, Thoracic paravertebral block (TPVB), Intravenous fentanyl 1 μg∙kg-1
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Serratus Anterior Plane Block (SAPB) groupProcedure or surgery
In SAPB; the needle is advanced in-plane from caudally cephalad at the midaxillary line at the level of the fourth rib with 45-degree angle, targeting the plane between the latissimus dorsi and serratus muscles. SAPB block will be performed Bilaterally. After confirmation that the needle tip is in the correct plane by injecting 2 ml of saline, 20 ml of 0.25% bupivacaine hydrochloride [Maracine prepared by adding an equal volume (1:1) of normal saline (0.9%) to 0.5% bupivacaine]will be injected, with intermittent aspiration to confirm neither air nor blood in the needle.
Thoracic paravertebral block (TPVB)Procedure or surgery
In TPVB; the needle is advanced in parasagittal plane over the transverse processes of the T4 and T5 vertebrae, about 2.5 cm lateral to the spinous processes, just deep to the superior costotransverse ligament but superficial to the parietal pleura. TPVB will be performed bilaterally. After confirmation that the needle tip is in the correct plane by injecting 2 ml of saline, 20 ml of 0.25% bupivacaine [Maracine prepared by adding an equal volume (1:1) of normal saline (0.9%) to 0.5% bupivacaine] will be injected, with intermittent aspiration to confirm no air or blood in the needle.
Intravenous fentanyl 1 μg∙kg-1Drug
Patient will receive IV fentanyl infusion just before skin incision, which will be stopped when cardiopulmonary bypass (CPB) is on, then resumed after weaning form CPB and continued till the end of the surgery.500µg fentanyl will be mixed with 50 ml 0.9% normal saline in 50 ml syringe (10 µg /ml).Infusion rate will be determined according to a dose of 1µg /kg/h.
| Study group | Role | What they receive |
|---|---|---|
| serratus anterior plane block | Active comparator | this group will be given 20 ml of 0.25% bupivacaine hydrochloride bilaterally Receives: Procedure: Serratus Anterior Plane Block (SAPB) group |
| thoracic paravertebral block | Active comparator | this group will be given 20 ml of 0.25% bupivacaine hydrochloride bilaterally Receives: Procedure: Thoracic paravertebral block (TPVB) |
| control | Other | Intravenous fentanyl infusion 1µg /kg/h Receives: Drug: Intravenous fentanyl 1 μg∙kg-1 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Duration of analgesia in hours
Measured: up to 12 hours
Postoperative visual analogue pain score (VAS)
Postoperative visual analogue pain score (VAS): It will be recorded every 1 hour after admission to ICU for the first 4 hours ' then every 2 hours for the remaining 8 hours
Measured: up to 12 hours
Total dose of fentanyl
Total doses of intra , postoperative fentanyl consumption and doses of rescue fentanyl.
Measured: up to 18 hours
Secondary outcomes (5)
Intra and postoperative haemodynamic data
Mean blood pressure (mmHg): Baseline, immediately after performing the block, at 30 minutes intervals (except when the patient on CPB) till the end of surgery Mean blood pressure (mmHg): Immediately after ICU admission, at 1 hour intervals in the 1st 6 hours, then at 2 hours intervals till 12 hours
Measured: up to 18 hours
Postoperative extubation time
Postoperative extubation time in minutes.
Measured: for 12 hours
Patients with block-related side effects and complications
bleeding , hematoma , inflammation , nerve injury , hemodynamic changes
Measured: for 3 days
Pulmonary function assessment
Pulmonary function assessment [forced expiratory volume at one second as % of predicted) using spirometry: Every 6 hours after extubation up to 12 hours
Measured: for 12 hours
Intra and postoperative haemodynamic data. Heart rate
Heart rate (beats/minute): Baseline, immediately after performing the block, at 30 minutes intervals (except when the patient on CPB) till the end of surgery Heart rate (beats/minute): Immediately after ICU admission, at 1 hour intervals in the 1st 6 hours, then at 2 hours intervals till 12 hours
Measured: up to 18 hours
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Nov 2026
- Study start1 Jan 2026
- Primary completion30 Nov 2026 (estimated)
- Study completion30 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (11)Papers the sponsor has linked to this study.
- Other trials for Intra and Post Operative Pain ManagementStudies of the same condition, open and under way.
- More trials run by Ain Shams UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Type of Study: A prospective, randomized, three-arm, controlled , double blinded clinical study.
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 111 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Ain Shams University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07911943
- Sponsor's protocol ID
- FMASU MD381/2025
- Status last verified
- Oct 2026
- First submitted
- 14 Oct 2026
- Last updated
- 3 Nov 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Young I, Dunning J, Mourad F, Escaloni J, Bliton P, Fernandez-de-Las-Penas C. Clinimetric analysis of the visual analogue scale and pain free mouth opening in patients with muscular temporomandibular disorder. Cranio. 2026 Jan;44(1):143-149. doi: 10.1080/08869634.2025.2464227. Epub 2025 Feb 10.
PubMed 39927871Tao X, Xue FS, Hu B, Tian T. Letter to the Editor Regarding Serratus Anterior Plane Block Combined with General Analgesia and Patient-Controlled Serratus Anterior Plane Block in Patients with Breast Cancer: A Randomized Control Trial. Adv Ther. 2021 Aug;38(8):4592-4595. doi: 10.1007/s12325-021-01847-y. Epub 2021 Jul 18. No abstract available.
PubMed 34275117Peterson W, Tse B, Martin R, Fralick M, Sholzberg M. Evaluating hemostatic thresholds for neuraxial anesthesia in adults with hemorrhagic disorders and tendencies: A scoping review. Res Pract Thromb Haemost. 2021 May 4;5(4):e12491. doi: 10.1002/rth2.12491. eCollection 2021 May.
PubMed 33977207Leviel F, Fourdrain A, Delatre F, De Dominicis F, Lefebvre T, Bar S, Alshatri HY, Lorne E, Georges O, Berna P, Dupont H, Meynier J, Abou-Arab O. S erratus anterior plane block alone, paravertebral block alone and their combination in video-assisted thoracoscopic surgery: the THORACOSOPIC double-blind, randomized trial. Eur J Cardiothorac Surg. 2024 Mar 29;65(4):ezae082. doi: 10.1093/ejcts/ezae082.
PubMed 38548664Kwa CXW, Cui J, Lim DYZ, Sim YE, Ke Y, Abdullah HR. Discordant American Society of Anesthesiologists Physical Status Classification between anesthesiologists and surgeons and its correlation with adverse patient outcomes. Sci Rep. 2022 May 2;12(1):7110. doi: 10.1038/s41598-022-10736-5.
PubMed 35501421Grant MC, Chappell D, Gan TJ, Manning MW, Miller TE, Brodt JL; PeriOperative Quality Initiative (POQI) and the Enhanced Recovery After Surgery (ERAS) Cardiac Society Workgroup. Pain management and opioid stewardship in adult cardiac surgery: Joint consensus report of the PeriOperative Quality Initiative and the Enhanced Recovery After Surgery Cardiac Society. J Thorac Cardiovasc Surg. 2023 Dec;166(6):1695-1706.e2. doi: 10.1016/j.jtcvs.2023.01.020. Epub 2023 Jan 28.
PubMed 36868931Givtaj N, Hosseinzadeh E, Hadipourzadeh FS, Faritous Z, Askari MH, Ghanbari Garekani M. Goal-directed therapy in cardiovascular surgery: A case series study. J Cardiovasc Thorac Res. 2023;15(3):186-192. doi: 10.34172/jcvtr.2023.31838. Epub 2023 Sep 23.
PubMed 38028714Delijani D, Kim H, Huang X, Pena J, Hartman A, Yu PJ. Predictors of Postoperative Morphine Milligram Equivalents in Cardiac Surgery. J Cardiothorac Vasc Anesth. 2024 Dec;38(12):3094-3100. doi: 10.1053/j.jvca.2024.08.029. Epub 2024 Aug 23.
PubMed 39261209• Azzouzi Idrissi, O., Aouni, H., Shimi, A., Bechri, I., Derkaoui, A. & Khatouf, M.,(2024). Preoperative evaluation in cardiac surgery: A prospective study in an intensive care unit in Morocco. World Journal of Advanced Research and Reviews, 21(3), pp.2207-2213.
Alkhouli M, Alqahtani F, Kalra A, Gafoor S, Alhajji M, Alreshidan M, Holmes DR, Lerman A. Trends in Characteristics and Outcomes of Patients Undergoing Coronary Revascularization in the United States, 2003-2016. JAMA Netw Open. 2020 Feb 5;3(2):e1921326. doi: 10.1001/jamanetworkopen.2019.21326.
PubMed 32058558Albi-Feldzer A, Dureau S, Ghimouz A, Raft J, Soubirou JL, Gayraud G, Jayr C. Preoperative Paravertebral Block and Chronic Pain after Breast Cancer Surgery: A Double-blind Randomized Trial. Anesthesiology. 2021 Dec 1;135(6):1091-1103. doi: 10.1097/ALN.0000000000003989.
PubMed 34618889
Study at a glance
From the registry record, last updated by the sponsor on 3 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of Analgesic Efficacy Between Ultrasound Guided Serratus Anterior Plane Block or Thoracic Paravertebral Block Versus Intravenous Fentanyl for On-pump Coronary Artery Bypass Graft Surgery: A Prospective, Randomised, Controlled Clinical Study
- ClinicalTrials.gov ID
- NCT07911943
- Acronym / sponsor ID
- FMASU MD381/2025
- Conditions
- Intra and Post Operative Pain Management, Fast Track Program,(Enhanced Recovery After Surgery (ERAS))
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 111 participants (estimated)
- Lead sponsor
- Ain Shams UniversityUniversity, hospital or other
- Study start
- 1 Jan 2026 (actual)
- Primary completion
- 30 Nov 2026 (estimated)
- Study completion
- 30 Dec 2026 (estimated)
- First posted
- 3 Nov 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Aim is to compare intra and postoperative analgesic efficacy of US-guided serratus anterior plane block (SAPB) or thoracic paravertebral block (TPVB) versus intravenous fentanyl in patient undergoing on-pump CABG surgery.
Detailed description
Aim is to compare intra and postoperative analgesic efficacy of US-guided serratus anterior plane block (SAPB) or thoracic paravertebral block (TPVB) versus intravenous fentanyl in patient undergoing on-pump CABG surgery.
The enrolled (111) patients will be randomly assigned via a computer-generated randomization table into three parallel and equivalent (1:1:1 ratio) groups: group A (37); will receive serratus anterior plane block, group B (37);will receive thoracic paravertebral block and group C (37); standard of care control group, will receive fentanyl infusion.
Group (A):
SAPB block will be performed Bilaterally. 20 ml of 0.25% bupivacaine hydrochloride [Maracine prepared by adding an equal volume (1:1) of normal saline (0.9%) to 0.5% bupivacaine]will be injected.
Group (B):
TPVB will be performed bilaterally. 20 ml of 0.25% bupivacaine [Maracine prepared by adding an equal volume (1:1) of normal saline (0.9%) to 0.5% bupivacaine] will be injected.
Group (C) (Control):
Patient will receive IV fentanyl infusion just before skin incision, which will be stopped when cardiopulmonary bypass (CPB) is on, then resumed after weaning form CPB and continued till the end of the surgery.500µg fentanyl will be mixed with 50 ml 0.9% normal saline in 50 ml syringe (10 µg /ml).Infusion rate will be determined according to a dose of 1µg /kg/h.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
- Model description
- Type of Study: A prospective, randomized, three-arm, controlled , double blinded clinical study.
| Arm | Type | Receives |
|---|---|---|
| serratus anterior plane block | Active comparator | Procedure: Serratus Anterior Plane Block (SAPB) groupthis group will be given 20 ml of 0.25% bupivacaine hydrochloride bilaterally |
| thoracic paravertebral block | Active comparator | Procedure: Thoracic paravertebral block (TPVB)this group will be given 20 ml of 0.25% bupivacaine hydrochloride bilaterally |
| control | Other | Drug: Intravenous fentanyl 1 μg∙kg-1Intravenous fentanyl infusion 1µg /kg/h |
Who may qualify
- Ages
- 40 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Age: 40-70 years.
- Sex: Males and Females.
- American Society of Anaesthesiologists (ASA) Physical Status Class III.
- Scheduled for elective on-pump isolated CABG via median sternotomy for 1 or 2 coronary vessel grafts.
- Good left ventricular systolic function with ejection fraction (EF) >50%
Key exclusion criteria (11 listed)
- Declining to give a written informed consent.
- History of allergy to the medications used in the study.
- Contraindications to regional anaesthesia as patient refusal, coagulopathy [activated partial thromboplastin time ≥45 sec, prothrombin time (INR) 1.5, platelets ≤ 80,000/dl], clopidogrel within the last 7 days of the procedure, severe spinal deformity or infection at puncture site).
- Psychiatric disorders or significant cognitive dysfunction.
- American Society of Anaesthesiologists (ASA) Physical Status Class IV or higher.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Serratus Anterior Plane Block (SAPB) groupIn SAPB; the needle is advanced in-plane from caudally cephalad at the midaxillary line at the level of the fourth rib with 45-degree angle, targeting the plane between the latissimus dorsi and serratus muscles. SAPB block will be performed Bilaterally. After confirmation that the needle tip is in the correct plane by injecting 2 ml of saline, 20 ml of 0.25% bupivacaine hydrochloride [Maracine prepared by adding an equal volume (1:1) of normal saline (0.9%) to 0.5% bupivacaine]will be injected, with intermittent aspiration to confirm neither air nor blood in the needle. | Procedure or surgery | serratus anterior plane block |
| Thoracic paravertebral block (TPVB)In TPVB; the needle is advanced in parasagittal plane over the transverse processes of the T4 and T5 vertebrae, about 2.5 cm lateral to the spinous processes, just deep to the superior costotransverse ligament but superficial to the parietal pleura. TPVB will be performed bilaterally. After confirmation that the needle tip is in the correct plane by injecting 2 ml of saline, 20 ml of 0.25% bupivacaine [Maracine prepared by adding an equal volume (1:1) of normal saline (0.9%) to 0.5% bupivacaine] will be injected, with intermittent aspiration to confirm no air or blood in the needle. | Procedure or surgery | thoracic paravertebral block |
| Intravenous fentanyl 1 μg∙kg-1Patient will receive IV fentanyl infusion just before skin incision, which will be stopped when cardiopulmonary bypass (CPB) is on, then resumed after weaning form CPB and continued till the end of the surgery.500µg fentanyl will be mixed with 50 ml 0.9% normal saline in 50 ml syringe (10 µg /ml).Infusion rate will be determined according to a dose of 1µg /kg/h. | Drug | control |
Primary outcome
Duration of analgesia in hours
Time frame: up to 12 hours
Postoperative visual analogue pain score (VAS)
Time frame: up to 12 hours
Postoperative visual analogue pain score (VAS): It will be recorded every 1 hour after admission to ICU for the first 4 hours ' then every 2 hours for the remaining 8 hours
Total dose of fentanyl
Time frame: up to 18 hours
Total doses of intra , postoperative fentanyl consumption and doses of rescue fentanyl.
5 secondary outcomes
Intra and postoperative haemodynamic data
Time frame: up to 18 hours
Postoperative extubation time
Time frame: for 12 hours
Patients with block-related side effects and complications
Time frame: for 3 days
Pulmonary function assessment
Time frame: for 12 hours
Intra and postoperative haemodynamic data. Heart rate
Time frame: up to 18 hours
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Nov 2026.
- Background: PubMed 39927871Young I, Dunning J, Mourad F, Escaloni J, Bliton P, Fernandez-de-Las-Penas C. Clinimetric analysis of the visual analogue scale and pain free mouth opening in patients with muscular temporomandibular disorder. Cranio. 2026 Jan;44(1):143-149. doi: 10.1080/08869634.2025.2464227. Epub 2025 Feb 10.
- Background: PubMed 34275117Tao X, Xue FS, Hu B, Tian T. Letter to the Editor Regarding Serratus Anterior Plane Block Combined with General Analgesia and Patient-Controlled Serratus Anterior Plane Block in Patients with Breast Cancer: A Randomized Control Trial. Adv Ther. 2021 Aug;38(8):4592-4595. doi: 10.1007/s12325-021-01847-y. Epub 2021 Jul 18. No abstract available.
- Background: PubMed 33977207Peterson W, Tse B, Martin R, Fralick M, Sholzberg M. Evaluating hemostatic thresholds for neuraxial anesthesia in adults with hemorrhagic disorders and tendencies: A scoping review. Res Pract Thromb Haemost. 2021 May 4;5(4):e12491. doi: 10.1002/rth2.12491. eCollection 2021 May.
- Background: PubMed 38548664Leviel F, Fourdrain A, Delatre F, De Dominicis F, Lefebvre T, Bar S, Alshatri HY, Lorne E, Georges O, Berna P, Dupont H, Meynier J, Abou-Arab O. S erratus anterior plane block alone, paravertebral block alone and their combination in video-assisted thoracoscopic surgery: the THORACOSOPIC double-blind, randomized trial. Eur J Cardiothorac Surg. 2024 Mar 29;65(4):ezae082. doi: 10.1093/ejcts/ezae082.
- Background: PubMed 35501421Kwa CXW, Cui J, Lim DYZ, Sim YE, Ke Y, Abdullah HR. Discordant American Society of Anesthesiologists Physical Status Classification between anesthesiologists and surgeons and its correlation with adverse patient outcomes. Sci Rep. 2022 May 2;12(1):7110. doi: 10.1038/s41598-022-10736-5.
- Background: PubMed 36868931Grant MC, Chappell D, Gan TJ, Manning MW, Miller TE, Brodt JL; PeriOperative Quality Initiative (POQI) and the Enhanced Recovery After Surgery (ERAS) Cardiac Society Workgroup. Pain management and opioid stewardship in adult cardiac surgery: Joint consensus report of the PeriOperative Quality Initiative and the Enhanced Recovery After Surgery Cardiac Society. J Thorac Cardiovasc Surg. 2023 Dec;166(6):1695-1706.e2. doi: 10.1016/j.jtcvs.2023.01.020. Epub 2023 Jan 28.
- Background: PubMed 38028714Givtaj N, Hosseinzadeh E, Hadipourzadeh FS, Faritous Z, Askari MH, Ghanbari Garekani M. Goal-directed therapy in cardiovascular surgery: A case series study. J Cardiovasc Thorac Res. 2023;15(3):186-192. doi: 10.34172/jcvtr.2023.31838. Epub 2023 Sep 23.
- Background: PubMed 39261209Delijani D, Kim H, Huang X, Pena J, Hartman A, Yu PJ. Predictors of Postoperative Morphine Milligram Equivalents in Cardiac Surgery. J Cardiothorac Vasc Anesth. 2024 Dec;38(12):3094-3100. doi: 10.1053/j.jvca.2024.08.029. Epub 2024 Aug 23.
- Background• Azzouzi Idrissi, O., Aouni, H., Shimi, A., Bechri, I., Derkaoui, A. & Khatouf, M.,(2024). Preoperative evaluation in cardiac surgery: A prospective study in an intensive care unit in Morocco. World Journal of Advanced Research and Reviews, 21(3), pp.2207-2213.
- Background: PubMed 32058558Alkhouli M, Alqahtani F, Kalra A, Gafoor S, Alhajji M, Alreshidan M, Holmes DR, Lerman A. Trends in Characteristics and Outcomes of Patients Undergoing Coronary Revascularization in the United States, 2003-2016. JAMA Netw Open. 2020 Feb 5;3(2):e1921326. doi: 10.1001/jamanetworkopen.2019.21326.
- Background: PubMed 34618889Albi-Feldzer A, Dureau S, Ghimouz A, Raft J, Soubirou JL, Gayraud G, Jayr C. Preoperative Paravertebral Block and Chronic Pain after Breast Cancer Surgery: A Double-blind Randomized Trial. Anesthesiology. 2021 Dec 1;135(6):1091-1103. doi: 10.1097/ALN.0000000000003989.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Serratus Anterior Plane Block (SAPB) group, Thoracic paravertebral block (TPVB) and Intravenous fentanyl 1 μg∙kg-1 in people with Intra and Post Operative Pain Management and Fast Track Program,(Enhanced Recovery After Surgery (ERAS)), run by Ain Shams University at 1 site in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Duration of analgesia in hours (time frame: up to 12 hours). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07911943, which also lists 11 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2026.