Could a targeted chest nerve block take the sting out of pacemaker surgery?
NCT ID NCT07739407
First seen Jul 31, 2026 · Last updated Jul 31, 2026
Summary
This trial tests whether adding an ultrasound-guided PECS II block—a numbing injection between chest muscles—to standard local anesthesia can reduce pain during permanent pacemaker implantation. About 72 adults scheduled for the procedure will be randomly assigned to receive either the extra block or standard care alone. The main focus is pain intensity while the pacemaker pocket is created, with secondary measures including painkiller use, satisfaction, and complications.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Ultrasound-guided PECS II block (injection of bupivacaine between chest muscles)
- What this could lead to
- If effective, this approach could offer a simple, drug-sparing way to make pacemaker implantation more comfortable, reducing pain and the need for extra painkillers during and after the procedure.
- What could go wrong
- This is a small, early-stage trial, so results may not apply broadly. The block carries small risks like bleeding, infection, or nerve damage, and it may not provide meaningful extra pain relief beyond standard care.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 72 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Aug 2027
An estimate. End dates often move.
- 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 years and older
- 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: * Age 18 years or older. * Scheduled for elective permanent pacemaker implantation. * American Society of Anesthesiologists (ASA) physical status I-III. * Ability to understand the study procedures and provide written informed consent. Exclusion Criteria: * Infection at the planned block site. * Known allergy or hypersensitivity to local anesthetics. * Uncorrected coagulopathy or active bleeding disorder. * Contraindication to PECS II block because of anticoagulant or antiplatelet therapy. * Severe cognitive impairment or inability to use the Numerical Rating Scale (NRS). * Emergency pacemaker implantation. * Planned generator replacement, lead revision, or device revision procedure. * Anatomical abnormalities preventing safe block performance. * Refusal to participate in the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
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