Serratus Anterior Plane Block Combined With Transversus Thoracic Muscle Plane Block Versus Conventional Local Anesthetic Infiltration for SICD Implantation: A Randomized Controlled Trial

Serratus Anterior Plane Block Combined With Transversus Thoracic Muscle Plane Block Versus Conventional Local Anesthetic Infiltration for SICD Implantation: A Randomized Controlled Trial

This is a prospective randomized study. The aim is to investigate the efficacy of a combined SAPB with TTPB for perioperative pain control compared to the standard local anesthetic infiltration technique in adult patients undergoing SICD implantation. The hypothesis is that the combined plane block provides better pain control compared to the standard local infiltration technique.

Inclusion Criteria:

• Patient is able to provide a written informed consent.
• Patient is scheduled to have an elective SICD implantation procedure.
• Patient has none of the exclusion criteria

Exclusion Criteria:

• Patient is unable to provide a written informed consent.
• Patient is younger than 18 years old.
• Patients with prior thoracotomy or other thoracic surgery altering anatomy.
• Patients with neurological deficits.
• Patients with impaired coagulation (Platelet count < 50,000 cells/mcl and/or INR > 1.4).
• Patient on anticoagulation therapy.
• Patient's weight below 50 kg