Regional Anesthesia for Cardiothoracic Enhanced Recovery (RACER) Study

Stanford University

Status: Completed

Conditions: Anesthesia, Local; Opioid Use; Congenital Heart Defect; Congenital Heart Disease

Treatments: Procedure: Bilateral Erector Spinae Plane Block (ESPB)

Study type: Interventional

Funder types: Other

Identifiers

NCT03611374

47032

Details and patient eligibility

About

The erector spinae plane block is a novel regional anesthetic technique that allows for analgesia of the thorax and abdomen with a peripheral nerve block. The goals of this study are to determine if bilateral erector spinae plane blocks (ESPB) after sternotomy for congenital heart repair in high risk children and adults can decrease outcomes such as duration of postoperative mechanical ventilation (MV), perioperative opioid consumption, days in the intensive care unit (ICU) and length of stay (LOS).

Enrollment: 38 patients

Sex: All

Ages: Under 99 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

i) Ages 0-99 ii) Give consent/parental consent to participate in study iii) Patients undergoing sternotomy for congenital heart repair surgeries

Exclusion criteria

i) Participants who do not consent or have parental consent ii) Patients who are clinically unstable or require urgent/emergent intervention iii) Patients under 5kg

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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38 participants in 1 patient group

Erector Spinae Plane Block

Experimental group

Description:

All participants will get the Erector Spinae Plane block (ESPB) as a prospective cohort study. After anesthesia induction all enrolled patients will have bilateral ESPB catheters placed at the T7 spine level prior to surgery. The surgery is a sternotomy for congenital heart repair in high risk children and adults.

Treatment:

Procedure: Bilateral Erector Spinae Plane Block (ESPB)