Comparison of ultrasound-guided erector spinae plane block vs. midpoint transverse process to pleura block for perioperative analgesia in paediatric cardiac surgery by open sternotomy approach: A randomized comparative study.
概览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- Raja Avinash
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- 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
概览
简要总结
This study is conducted to compare the a perioperative analgesic effect of two USG-guided intervantions named B/L MTP block and B/L ESP block. Each group has 35 patients, ranging in age from 1 to 10 years old, who are scheduled for cardiac surgery via an open sternotomy approach. We use 0.25% bupivacaine hydrochloride at 0.3 ml/kg in both groups. A skilled anesthesiologist will inject the liquid by using a 22-gauge, 5-cm echogenic needle at a level of 4-5 thoracic vertebrae. A comfort scale-based pain assessment will be performed at skin incision, sternotomy, weaning from bypass, 0 hr of shifting to ICU, 2 hr, 4 hr, 6 hr, 8 hr, 12 hr, 24 hr, and at extubation. total fentanyl consumption in 24 hours is also noted
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant, Investigator and Outcome Assessor Blinded
入排标准
- 年龄范围
- 1.00 Year(s) 至 10.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients undergoing elective cardiac surgical procedure via median sternotomy incision.
排除标准
- •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.
- •Pre-existing coagulopathic disorder.
- •Parent refusal to consent and participation.
结局指标
主要结局
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
时间窗: 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
次要结局
- . Mean fentanyl consumption intraoperative and post-operative(2. Rescue analgesia requirement)
研究者
RAJA AVINASH
ABVIMS, Dr RML Hospital, New Delhi