Comparison of Two Regional Anaesthetic Blocks for ERAS After Congenital Cardiac Surgery

University of Alexandria

Status: Unknown

Conditions: Local Infiltration

Treatments: Procedure: Regional anaesthesia

Study type: Interventional

Funder types: Other

Identifiers

NCT04918433

118

Details and patient eligibility

About

The current study is designed to compare the perioperative analgesic efficacy of transversus thoracis plane block (TTPB) and Pecto-intercostal-fascial plane block (PIFB) in children undergoing cardiac surgery via median sternotomy

Full description

Sixty paediatric patients of either sex, aged 2-12 years, undergoing elective cardiac surgery via median sternotomy. Patients will be excluded from the current study in case of, refusal to participate, redo or urgent cardiac surgery, local infection of the skin at the site of needle puncture, allergy to bupivacaine, coagulation disorders, clinically significant liver or kidney disease, heart failure, moderate to severe pulmonary hypertension, and when extubation is intentionally planned to be delayed. Patients will be randomly assigned to one of two equal groups, the PIF block group and TTP block group, each will include 30 patients, by a computer-generated randomization table and concealed sealed opaque envelopes.

Enrollment: 60 estimated patients

Sex: All

Ages: 2 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• either sex, aged 2-12 years, undergoing

elective cardiac surgery via median sternotomy

Exclusion criteria

• refusal to participate, redo or urgent cardiac surgery, local infection of the skin at the site of needle puncture, allergy to bupivacaine, coagulation disorders, clinically significant liver or kidney disease, heart failure, moderate to severe pulmonary hypertension

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

TRANSEVERSUS THORACIS MUSCLE PLANE BLOCK (TTPB)

Active Comparator group

Description:

After induction of anaesthesia, ultrasound guided transverses thoracis muscle plane block will be done using 0.25% bupivacaine

Treatment:

Procedure: Regional anaesthesia

PECTO-INTERCOSTAL FACIAL PLANE BLOCK (PIFB)

Active Comparator group

Description:

After induction of anaesthesia, ultrasound guided pectointercostal facial plane block will be done using 0.25% bupivacaine

Treatment:

Procedure: Regional anaesthesia