Evaluation of Ultrasound-Guided Block of the Lateral Femoral Cutaneous Nerve in Pediatric Patients for Reconstructive Surgical Procedures
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 19
- 试验地点
- 2
- 主要终点
- Visual Analog Pain Scale
研究概览
简要总结
The purpose of this study is to determine whether either a peripheral nerve block under ultrasound (u/s) guidance of the lateral femoral cutaneous nerve (LFCN), versus an u/s guided block of the nerve followed by continuous catheter infusion of local anesthetic, offers better post-operative analgesia in pediatric burn patients undergoing reconstructive surgery, than the current analgesic regimen of subcutaneous local anesthetic infiltration.
Eligible subject, pediatric patients having reconstructive surgery for burns, having skin graft donor sites of the lateral thighs, will be randomized into three groups: control (having local infiltration of site), ultrasound guided nerve block, or ultrasound guided nerve block with catheter placement --fascia iliac.
Post-operative comfort will be assessed over the next 48 hours.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 2 Years 至 21 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •going for reconstructive surgery requiring split thickness skin graft
- •patient's donor site will be in distribution of lateral femoral cutaneous nerve
- •age >=2 and <22
- •patient emotionally/intellectually able to describe intensity of post-op pain using VAS or Wong- Baker faces scale.
排除标准
- •potential block/catheter site infected or burned.
- •intolerance/allergy to local anesthetics
- •BMI > 30
- •American Society of Anesthesiologists (ASA) score > 2
结局指标
主要结局
Visual Analog Pain Scale
时间窗: Q4 hours,while awake, for 48 hours
We will assess a VAS of pain (0-10)--every 4 hours postoperatively while the patient is awake, for 48 hours post-op.
次要结局
- Narcotic use(48 hours postoperative)
研究者
Erik S. Shank, MD
Staff Physician: Pediatric Anesthesiologist
Massachusetts General Hospital