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Comparison of ultrasound-guided erector spinae plane block vs. midpoint transverse process to pleura block for pain relief during and after operation in paediatric heart surgery by open sternotomy approach: A randomized comparative study.

Not Applicable
Conditions
Health Condition 1: O- Medical and Surgical
Registration Number
CTRI/2024/03/063523
Lead Sponsor
Raja Avinash
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Patients undergoing elective cardiac surgical procedure via median sternotomy incision

Exclusion Criteria

1)Complex cardiac anomalies, including atrioventricular septal defect, coarctation of the aorta, severe stenosis or insufficiency of the semilunar valves and Tetralogy of Fallot

2)Local site infection

3)Systemic sepsis

4)History of allergy to local anaesthetic agent

5)Liver dysfunction

6)Redo surgery/Emergency surgery

7)Critically ill patient viz on mechanical ventilation, preoperative inotropic support

8)Thoracic vertebral abnormalities

9)Intraoperative and postoperative complications related to surgery or nature of the disease e.g., Intra-operative pulmonary hypertensive crisis, difficult CPB weaning, need for prolonged elective ventilation post-op.

10)Pre-existing coagulopathic disorder.

11)Parent refusal to consent and participation

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1.Perioperative pain, which is measured using the Comfort Scale at skin incision, sternotomy, weaning from bypass, at 0 1, 2, 4, 6, 8, 12, 24 hours after shifting to Intensive care unit, and at extubationTimepoint: 1.Perioperative pain, which is measured using the Comfort Scale at skin incision, sternotomy, weaning from bypass, at 0 1, 2, 4, 6, 8, 12, 24 hours after shifting to Intensive care unit, and at extubation
Secondary Outcome Measures
NameTimeMethod
. Mean fentanyl consumption intraoperative and post-operative <br/ ><br>2. Rescue analgesia requirement <br/ ><br>3. Time to extubation <br/ ><br>4. Length of ICU stay <br/ ><br>Timepoint: upto 24 hr
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