Comparison between the efficacy of ultrasound guided erector spinae plane block and thoracic epidural analgesia in paediatric patients undergoing unilateral thoracic surgery under general anaesthesia A randomized controlled trial
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 66
- 试验地点
- 1
- 主要终点
- Mean opioid consumption 24hr postoperatively of ultrasound guided erector spinae plane block and thoracic epidural analgesia in paediatric patients undergoing thoracic surgery under general anaesthesia
研究概览
简要总结
Thoracic epidural analgesia (TEA) with continuous catheter infusion is widely regarded as a superior technique in providing prolonged duration of postoperative analgesia in adult as well as paediatric patients in thoracic surgery but with newer peripheral blocks such as erector spinae plane block (ESPB) with a continuous catheter infusion, one can achieve the same amount of pain control at much lesser complications when compared to thoracic epidural.
A lot of studies have been published where epidural analgesia is compared to erector spinae plane block in adult in terms of their efficacy and safety.However, to the best of our knowledge, there is limited literature on comparison between the efficacy of ultrasound guided erector spinae plane block (ESPB) and thoracic epidural analgesia (TEA) with continuous catheter infusion in paediatric patients undergoing unilateral thoracic surgery.
This study has been planned to compare the efficacy of two techniques in post operative pain control in paediatric patients under going unilateral thoracic surgery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant and Investigator Blinded
入排标准
- 年龄范围
- 2.00 Year(s) 至 7.00 Year(s)（—）
- 性别
- All
入选标准
- •Paediatrics patients of either sex belonging to age group 2 -7yrs with ASA physical status I & II scheduled for unilateral thoracic surgery under general anaesthesia.
排除标准
- •History of any relevant drug allergy or chronic pain.
- •Any contraindication to the regional block such as coagulation disorder infection at needle insertion site.
- •Deformity of thoracolumbar spine.
结局指标
主要结局
Mean opioid consumption 24hr postoperatively of ultrasound guided erector spinae plane block and thoracic epidural analgesia in paediatric patients undergoing thoracic surgery under general anaesthesia
时间窗: At 0 hour 1 hour 3 hour 6 hour 12 hour and 24 hours
次要结局
- 1.Median [Interquartile range] FLACC score(2.Mean / Median time of first rescue analgesia)
研究者
Dr Neeraj Kumar Sharma
Lady Hardinge Medical College