Bilateral Ultrasound Guided Superficial Parasternal Intercostal Plane Block Versus Erector Spinae Plane Block

Cairo University (CU)

Status: Not yet enrolling

Conditions: CHD - Congenital Heart Disease

Treatments: Procedure: superficial parasternal intercostal Plane block; Procedure: Erecto spinea plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT06958120

BLocks in pediatric cardiac op

Details and patient eligibility

About

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 .

Full 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

Enrollment: 50 estimated patients

Sex: All

Ages: 6 months to 4 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• RACHS-1: Categories 1, 2 and 3
• Patients undergoing corrective cardiac surgeries with midline sternotomy incision.
• Redo surgeries.

Exclusion criteria

• 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).

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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50 participants in 2 patient groups

Superficial parasternal intercostal Plane block group

Experimental group

Description:

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

Treatment:

Procedure: superficial parasternal intercostal Plane block

Erecto-Spinea plane block group

Experimental group

Description:

This group will receive fentanyl infusion at a dose of (0.5μg/kg/h) all through the whole operation plus Ultrasound guided bilateral Erecto-Spinea plane block

Treatment:

Procedure: Erecto spinea plane block