Bilateral Ultrasound Guided Superficial Parasternal Intercostal Plane Block Versus Erector Spinae Plane Block
- Conditions
- CHD - Congenital Heart Disease
- Registration Number
- NCT06958120
- Lead Sponsor
- Cairo University
- Brief Summary
Group (A): This group will receive fentanyl infusion at a dose of (0.5μg/kg/h) all through the whole operation plus ultrasound guided bilateral superficial parasternal intercostal Plane block which will be done by injecting 0.4ml/kg (1:1 solution of bupivacaine 0.25% and lidocaine 1%) at each side3.
Group (B): This group will receive fentanyl infusion at a dose of (0.5μg/kg/h) all through the whole operation plus Ultrasound guided bilateral ESPB which will be done by injecting 0.4ml/kg (1:1 solution of bupivacaine 0.25% and lidocaine 1%) at each side .
- Detailed Description
Preoperative assessment Premedication Monitoring General Anesthesia induction Arterial and Venous cannulation Fentanyl Infusion Giving block according to the group Intra operative recording of hemodynamics Post operative pain assessment
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 50
- RACHS-1: Categories 1, 2 and 3
- Patients undergoing corrective cardiac surgeries with midline sternotomy incision.
- Redo surgeries.
- Patients whose parents or legal guardians refuse to participate.
- Preoperative mechanical ventilation.
- Preoperative inotropic drug infusion.
- Coagulopathy.
- Allergy to any of the studied drugs.
- Severe pulmonary hypertension (> 70 mmHg).
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Pain assessment Immediately after admission to ICU then at 60 min, 2 hours, 4 hours, 8 hours and 12 hours postoperatively Pain was assessed by the pediatric observational 10-point scale "Face, Leg, Activity, Cry, Consolability (FLACC) pain score.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Abu Al reesh hospital
🇪🇬Cairo, Egypt