Serratus Anterior Plane Block for Management of Post Thoracotomy Pain (SAPB)

Indiana University

Status

Terminated

Conditions

Local Anaesthetic Agent Overdose

Local Anesthetic Complication

Pain, Postoperative

Opioid Use

Post-thoracotomy Pain Syndrome

Treatments

Procedure: Serratus anterior block

Study type

Interventional

Funder types

Other

Identifiers

NCT04258436

1905162549

Details and patient eligibility

About

This is a single-center, randomized, prospective study evaluating the effect of serratus anterior plane block performed after induction of anesthesia, but before the start of surgery on postoperative opioid requirements. The hypothesis of the study is that serratus anterior plane blocks are relatively simple to perform, provide good postoperative analgesia, facilitate early tracheal extubation, and reduce the length of hospital stay after pediatric cardiac surgery through a thoracotomy.

Full description

This is a single-center, randomized, prospective study evaluating the effect of serratus anterior plane block performed after induction of anesthesia, but before the start of surgery on postoperative opioid requirements. There is already a postoperative protocol for the management of pain in the pediatric cardiac intensive care unit. This protocol will be maintained so all patients will be receiving clinically accepted and standard postoperative pain management.

Routine preoperative evaluation will be performed to establish eligibility for study inclusion. All patients will receive anesthesia by a pediatric cardiac anesthesiologist according to the clinical protocol established for these patients. The serratus anterior plane block will be performed by a pediatric anesthesiologist on the acute pain service team who routinely perform pain blocks at this institution.

Group 1 will receive an ultra-sound guided serratus anterior block after induction of general anesthesia. Group 2 will not receive a serratus anterior block.

Postoperative pain will be managed by a pediatric cardiac intensivist according to a standard pain protocol.

Enrollment

1 patient

Sex

All

Ages

38 weeks to 12 months old

Volunteers

No Healthy Volunteers

Inclusion criteria

12 months of age or less
Infants undergoing cardiac surgery through a thoracotomy incision
Infants having surgery performed by a Pediatric Cardiac Surgeon at Riley Hospital

Exclusion criteria

Infants requiring sternotomy or emergency surgery
Allergy to local anesthetics
Neonates less that 37 weeks gestation
Infants intubated prior to surgery
Infection at the site of the Serratus Anterior Plane Block 6. Bleeding diathesis with increased risk of hematoma at the block site 7. Allergy to morphine 8. Active pulmonary infection