Nerve blocks slash pain after keyhole heart surgery
NCT ID NCT03743194
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether injecting a long-lasting numbing medicine (liposomal bupivacaine) near the chest muscles could reduce pain after minimally invasive heart surgery. 210 adults having robot-assisted mitral valve repair took part. The main goal was to see if the nerve blocks improved a combined pain and side-effect score over the first three days after surgery.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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210 people
The number who actually took part.
- Started
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Dec 2021
- Finished
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Mar 2022
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 85 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. 18-85 years old; 2. Elective minimally invasive robotically-assisted mitral valve repair via anterolateral thoracotomy Exclusion Criteria: 1. Weight less than 50 kg; 2. Pregnancy or lactation; 3. Emergency surgery and patients transferred from the ICU to the operating room; 4. Redo cardiothoracic surgery or post-operative reoperation within 72 hours of index procedure (including minor chest wall procedures including tube thoracostomy, thoracentesis or percutaneous drain placement); 5. Anticipated endotracheal intubation \> 24 hours; 6. Anticipated non-study nerve block that provides analgesia to the intercostal nerves; 7. Active systemic or cardiopulmonary infection; 8. Mechanical circulatory support; 9. Allergy or contraindication to study local anesthetics; 10. Current chronic pain or routine opioid use (patients on chronic enteral opioids like Percocet or Vicodin) in a dose of \> 30 mg of morphine-milligram-equivalents for at least 10 days in last 30 days; 11. Poorly controlled psychiatric disorders; 12. Clinically important current neurologic deficit; 13. Active liver disease or cirrhosis; 14. Pacemaker generator or breast implants ipsilateral to surgery; 15. Previous participation in this study.
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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The Cleveland Clinic Foundation
Cleveland, Ohio, 44195, United States
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