To test the effectiveness of two block in children for pain relief after heart surgeries.

Recruiting

• Conditions: Ventricular septal defect, (2) ICD-10 Condition: Q211||Atrial septal defect, (3) ICD-10 Condition: Q213||Tetralogy of Fallot,

• Registration Number: CTRI/2023/05/052230
• Lead Sponsor: Gandhi Medical college

Brief Summary

Post operative pain after cardiac surgery is difficult to assess in pediatric patients and pain management is also incomplete as sometimes verbal communication is not possible in pediatric patients.

Inadequate pain control following sternotomy can result in adverse haemodynamic consequences and pulmonary complications, furthermore opioid analgesics may cause respiratory depression and apnoea in pediatric patients.

With the introduction of newer fascial plane blocks such as erector spinae plane block(ESP) and pecto-intercostal fascial(PICF) block, the requirement of opioid analgesics can be minimized and complications of opioid analgesics can be avoided as these fascial plane blocks can produce excellent analgesia with the help of ultrasound guidance.

The present study is conducted to evaluate the effect of post- operative analgesia of Ultrasound guided erector spinal plane (ESP) block and pecto-intercostal fascial (PICF) block in pediatric cardiac surgeries.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2023-04-05
• Study Start: 2023-05-28

Recruitment & Eligibility

• Status: Open to Recruitment
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• 1. Age group 2-17 years of either sex.
• 2. Pediatric patients undergoing congenital cardiac correction (ASD,VSD and TOF etc) surgery with median sternotomy.
• 3. Patients of ASA grade II and III.

Exclusion Criteria

• 1. Parents of patients refusal/ consent not given.
• 2. History of developmental delay or mental retardation.
• 3)Known allergy to local anaesthetic.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The effect of post-operative analgesia of erector spinal plane (ESP) block and pecto-intercostal fascial (PICF) block in pediatric cardiac surgeries using modified objective pain score(MOPS).	When extubation criteria met, patient will be extubated and post-op pain assessment will be done at 0, 2, 4, 6, 8, 10 and 12 hrs.

Secondary Outcome Measures

Name	Time	Method
â—To observe intra operative and post operative opioid requirement and additional analgesic requirements.	â—To observe the duration of analgesia in both groups.

Trial Locations

Locations (1)

Department of Anaesthesiology; 🇮🇳 Bhopal, MADHYA PRADESH, India

Department of Anaesthesiology

🇮🇳Bhopal, MADHYA PRADESH, India

Dr Swapnesh kumar

Principal investigator

7987662212

swapnesh.sk@gmail.com