Evaluation of Ultrasound Guided Modified Pectoral Nerves Blocks in Transvenous Subpectoral Pacemaker Insertion in Children: Randomized Controlled Trial
Overview
- Phase
- Phase 4
- Intervention
- paracetamol
- Conditions
- Complete Heart Block
- Sponsor
- Kasr El Aini Hospital
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Mean Post-operative pain score by The Face, Legs, Activity, Cry, Consolability scale (FLACC) scale.
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Evaluation of Ultrasound Guided Modified Pectoral Nerves Blocks in Transvenous Subpectoral pacemaker insertion in Children: Randomized Controlled Trial
Detailed Description
BACKGROUND Pectoral nerve blocks (PECs) can reduce intraprocedural anesthetic requirements and postoperative pain. Little is known about the utility of PECs in reducing pain and narcotic use after pacemaker (PM)placement in children. OBJECTIVE The purpose of this study was to determine whether PECs can decrease postoperative pain and opioid use after PM placement in children. METHODS A single-center controlled trial of pediatric patients undergoing transvenous PM placement between 2020 and 2021 will be performed. Demographics, procedural variables, postoperative pain, and postoperative opioid usage will be compared between patients who undergone PECs and those who undergone conventional anesthetic (Control).
Investigators
Ahmed Mohamed Mohamed Elhaddad
lecturer
Kasr El Aini Hospital
Eligibility Criteria
Inclusion Criteria
- •congenital or post-operative heart block.
Exclusion Criteria
- •⦁ Redo patient
- •History of allergic reactions to local anesthetics.
- •Bleeding disorders with International Normalization Ratio( INR) \> 1.5 and/or platelets \< 50
- •Rash or signs of infection at the injection site.
- •Emergency procedure
Arms & Interventions
control
conventional control group(C) (n=20) where20 children will receive IV paracetamol 20 mg / kg and atracurium top ups at a dose of 0.1mg/kg. every 30 minutes.
Intervention: paracetamol
PECs
Pectoral nerves blocks group (P) (n=20) where 20 children will have PECs Block and atracurium top ups upon request.
Intervention: modifiedPECs block
Outcomes
Primary Outcomes
Mean Post-operative pain score by The Face, Legs, Activity, Cry, Consolability scale (FLACC) scale.
Time Frame: immediate, 6,12 ,18 and 24 hours after intervention
pain score
Secondary Outcomes
- Total consumption of opioids.(immediate, 6,12 ,18 and 24 hours after intervention)