Artificial Intelligence Evaluation of Fascial Plane Block Quality and Postoperative Pain in Cardiac Surgery
NCT07581678 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 120
Last updated 2026-05-12
Summary
Postoperative pain is a common and significant problem following open heart surgery. Fascial plane blocks (FPBs) such as Serratus Anterior Plane Block (SAPB), Pectoral Nerve Blocks (PECS), and Pecto-Intercostal Fascial Block (PIFB) are increasingly used as part of multimodal analgesia in cardiac surgery. However, objective assessment of block quality and its relationship with clinical outcomes remains limited in the literature.
This prospective observational study aims to evaluate the anatomical success of ultrasound-guided fascial plane blocks applied in elective open heart surgery (median sternotomy) using two simultaneous methods: a trained artificial intelligence (AI) model and a blinded expert anesthesiologist. Block images will be recorded in DICOM format and scored on a 3-point scale (1: incorrect anatomical placement, 2: patchy spread, 3: ideal anatomical placement). The relationship between anatomical block success scores and postoperative pain (NRS at 0, 6, 12, 24, and 48 hours), total analgesic consumption, and clinical outcomes will be investigated. Agreement between AI and blinded anesthesiologist assessments will also be analyzed.
Conditions
- Pain, Postoperative
- Cardiac Surgical Procedures
- Nerve Block
Sponsors & Collaborators
-
Bursa Yuksek Ihtisas Training and Research Hospital
lead OTHER_GOV
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-09-01
- Primary Completion
- 2026-05-01
- Completion
- 2026-05-01
Countries
- Turkey (Türkiye)
Study Locations
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