A comparative study between bilateral erector spinae plane and paravertebral blocks for postoperative analgesia after pediatric cardiac surgery
Not Applicable
Recruiting
- Conditions
- Circulatory SystemSurgeryPaediatricsCardiologyAnaesthesia
- Registration Number
- PACTR202005904505939
- Lead Sponsor
- mansoura university children hospital MUCH
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 80
Inclusion Criteria
This study will be conducted on 80 patients of either sex with their age ranging from 2 to 12 years submitted for on pump elective repair of congenital simple left to right intra cardiac shunt via median sternotomy
Exclusion Criteria
Patients will be excluded from the current study in case of refusal of their guardians, redo cardiac surgery, previous back injury or surgery which would preclude the performance of needle puncture, kyphoscoliosis, local infection of the skin and subcutaneous tissue at the site of needle puncture, hypersensitivity to local anesthetics, coagulation disorders, renal, hepatic or pulmonary disease, heart failure and moderate to severe pulmonary hypertension
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1- Total dose of intra operative fentanyl requirements.<br>2- Post operative pain according to objective pain discomfort score(OPDS) in children.<br>
- Secondary Outcome Measures
Name Time Method 1-Heart rate [HR] and invasive mean arterial blood pressure [MAP] will be recorded; before induction of anesthesia (basal value), after induction of anesthesia, after skin incision, after sternotomy, 15 min after CPB and after the closure of sternum. <br>2- Total dose of intra operative fentanyl requirements (ug/kg).<br>3- Aortic cross clamping time (minutes).<br>4- Cardiopulmonary bypass time (minutes).<br>5-The number of patients who will be extubated in operating room (within 15 minutes of the end of surgery) were recorded.<br>6- Time to extubation (hours). <br>7- Post extubation PaO2, PaCO2 will be assessed each 3 hour for 24 hours.<br>8-Time of first rescue analgesia <br>9- Total dose of morphine consumption in the first 24 postoperative hours. <br>10- Intensive care unit (ICU) length of stay. <br>11- Postoperative complications (the need for re-intubation, nausea and vomiting, pruritus, respiratory depression and neurological deficits) will be reported