Evaluation of Ultrasound-Guided Block of the Lateral Femoral Cutaneous Nerve in Pediatric Patients for Reconstructive Surgical Procedures
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Burns
- Sponsor
- Massachusetts General Hospital
- Enrollment
- 19
- Locations
- 1
- Primary Endpoint
- Visual Analog Pain Scale
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The purpose of this study is to determine whether either a peripheral nerve block under ultrasound (u/s) guidance of the lateral femoral cutaneous nerve (LFCN), versus an u/s guided block of the nerve followed by continuous catheter infusion of local anesthetic, offers better post-operative analgesia in pediatric burn patients undergoing reconstructive surgery, than the current analgesic regimen of subcutaneous local anesthetic infiltration.
Eligible subject, pediatric patients having reconstructive surgery for burns, having skin graft donor sites of the lateral thighs, will be randomized into three groups: control (having local infiltration of site), ultrasound guided nerve block, or ultrasound guided nerve block with catheter placement --fascia iliac.
Post-operative comfort will be assessed over the next 48 hours.
Investigators
Erik S. Shank, MD
Staff Physician: Pediatric Anesthesiologist
Massachusetts General Hospital
Eligibility Criteria
Inclusion Criteria
- •going for reconstructive surgery requiring split thickness skin graft
- •patient's donor site will be in distribution of lateral femoral cutaneous nerve
- •age \>=2 and \<22
- •patient emotionally/intellectually able to describe intensity of post-op pain using VAS or Wong- Baker faces scale.
Exclusion Criteria
- •potential block/catheter site infected or burned.
- •intolerance/allergy to local anesthetics
- •BMI \> 30
- •American Society of Anesthesiologists (ASA) score \> 2
Outcomes
Primary Outcomes
Visual Analog Pain Scale
Time Frame: Q4 hours,while awake, for 48 hours
We will assess a VAS of pain (0-10)--every 4 hours postoperatively while the patient is awake, for 48 hours post-op.
Secondary Outcomes
- Narcotic use(48 hours postoperative)