study the various regional anesthetic technique to reduce the pain of thoracotomy after cardiac surgery in children.
Not Applicable
Completed
- Conditions
- Health Condition 1: null- having congenital cardiac diseases with ASA grade I or II for correction of defect via thoracotomy incision.Health Condition 2: Q250- Patent ductus arteriosus
- Registration Number
- CTRI/2018/01/011559
- Lead Sponsor
- Department of Cardiac Anesthesia
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 108
Inclusion Criteria
Pediatric patients between age 1 to 14 years, ASA Grade I or II with congenital heart disease i.e. Patent ductus arteriosus (PDA), Coarctation of Aorta (CoA), Atrial Septal defect (ASD), Partial anomalous pulmonary venous return (PAPVR) and Blalog taussig shunt (B T shunt) requiring elective thoracotomy for surgical correction or repair.
Exclusion Criteria
Children requiring sternotomy for correction of heart defect, children with emergency cardiac surgery, children having deranged coagulation profile and children with previous thoracotomy will be excluded from the study.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To evaluate the efficacy of post operative analgesia and duration of post operative analgesia by Modified Objective Pain Score (MOPS) between serratus anterior plane block (SAPB), Intercostal nerve block (ICNB), and pectoral nerves (PECS) 1 block in pediatric patients undergoing a thoracotomy.Timepoint: After completion of surgery and administering the block, hemodynamic parameters noted and patient will be shifted to ICU with endotracheal tube in situ. Extubation time, monitoring of pulse rate, blood pressure SpO2, ECG, Respiratory rate and Modified objective pain score (MOPS) will be recorded in ICU every 2 hours interval for upto 12 hours after extubation.
- Secondary Outcome Measures
Name Time Method To compare the side effect or complications, rescue analgesia (fentanl) consumption, associated with the three procedures.Timepoint: After completion of surgery and administering the block, hemodynamic parameters noted and patient will be shifted to ICU with endotracheal tube in situ. Extubation time, monitoring of pulse rate, blood pressure SpO2, ECG, Respiratory rate and Modified objective pain score (MOPS) will be recorded in ICU every 2 hours interval for upto 12 hours after extubation.