Analgesic Efficacy of Ultrasound Guided Costotransverse Block in Paediatric patients undergoing Video Assisted Thoracoscopic Surgery: A Randomised Controlled Trial
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- To evaluate the 24-h postoperative opioid consumption per kg body weight
研究概览
简要总结
Video-assisted thoracoscopic surgery is a commonly done procedure in Paediatric patients.
These patients experience moderate to severe pain postoperatively increasing the risk of postoperative
complications and delaying their recovery.
Conventional analgesics like opioids have systemic adverse effects, insufficient pain alleviation and
delayed recovery. This has led to the advent of locoregional analgesic techniques like ultrasound
(USG) paravertebral block (PVB), which blocks both the dorsal and ventral rami providing adequate
pain relief. However this block is accompanied by complications like hematoma, hypotension and
pneumothorax. Lately US guided costotransverse block (CTB) has been described as a peri PVB where
the drug is deposited above superior costotransverse ligament. Its use has been described in adult
breast and Paediatric cardiac surgeries.
The purpose of this study is to investigate the costotransverse block’s analgesic effectiveness in
Paediatric VATS patients. This study aims to provide insight into the possible advantages of
incorporating this method into Paediatric thoracic surgery procedures.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant and Outcome Assessor Blinded
入排标准
- 年龄范围
- 1.00 Year(s) 至 14.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients aged 1 to 14 years scheduled for Video Assisted Thoracoscopic Surgeries.
排除标准
- •Parent/patient refusal to participate in the study Patients with coagulation disorders.
- •Patients hypersensitive to study medications.
- •Patients with developmental or mental delay.
- •Skin lesions or infection at the planned site of needle insertion Congenital vertebral anomalies Patients planned for postoperative ventilation.
结局指标
主要结局
To evaluate the 24-h postoperative opioid consumption per kg body weight
时间窗: From the end of surgery to 24 hours postoperatively
次要结局
- To evaluate postoperative pain scores using the FLACC/NRS scale(30 minutes,)
- To evaluate intraoperative fentanyl consumption(from the time of administration of block to the end of the surgery)
- To evaluate side effects like vomiting, respiratory depression and sedation using(POSS scale)
- Time to 1st rescue analgesia administration.(from the time of administration of block to the first need of use of analgesic administration)
研究者
Dr Naveen V
AIIMS PATNA