Comparing the ability of two types of ultrasound guided fascial plane block in obtunding post surgical pain in pediatric cardiac surgical patients.

Comparison of ultrasound guided transverse thoracic muscle plane block and pecto-intercostal fascial plane block in reducing post operative pain in pediatric cardiac surgeries via median sternotomies - NIL

Status

Active, not recruiting

Phases

Phase 4

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2023/09/057509

Enrollment

Registered

2023-09-12

Start date

Unknown

Completion date

Unknown

Last updated

2024-06-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: Q209- Congenital malformation of cardiacchambers and connections, unspecified Health Condition 2: Q219- Congenital malformation of cardiacseptum, unspecified

Interventions

Intervention1: ULTRASOUND GUIDED TRANSVERSE THORACIC PLANE BLOCK: USG guided TTP block with 1ml/kg of 0.2% Bupivacaine and 0.1mg/kg of dexamethasone given in 4 divided injection on both sides of the s

Eligibility

Inclusion criteria

Inclusion criteria: 1) Children with congenital heart disease with age more than 2yrs of age and less than 18yrs old 2) Children undergoing elective cardiac surgery through median sternotomy with cardiopulmonary bypass support 3) Children who are expected to be extubated with in 12hours after surgery

Exclusion criteria

Exclusion criteria: ) Emergency surgeries 2) Chest wall abnormalities 3) Subjects with known contraindication or allergy to local anesthetics 4) Evidence of coagulopathy 5) Infection at the site of planned block 6) RACHS-1 score more than or equal to 3. 7) Patient shifted out to ICU with stented sternum or open chest. 8) Patient ventilated for more than 12hours after post op transfer to ICU 9) Severe PAH 10) Critically ill patient 11) Re-do surgeries

Design outcomes

Primary

Measure	Time frame
total opioid consumption in the first 24hours in both the groupsTimepoint: first 24hours	—

Secondary

Measure	Time frame
1.Comparing FLACC/NRS score during the first 24hours after administration of block. 2. Time to rescue analgesia in both the groups receiving ultrasound guided blocks. 3. Comparing the intraoperative analgesic requirement. 4. To study intraoperative & post operative stress response as assessed by glucose and lactate level and total duration of ICU stay 5. To study the procedure related complicationsTimepoint: in the first 6hr 12hour 18hour & 24hour	—

Measure

Time frame

1.Comparing FLACC/NRS score during the first 24hours after administration of block. 2. Time to rescue analgesia in both the groups receiving ultrasound guided blocks. 3. Comparing the intraoperative analgesic requirement. 4. To study intraoperative & post operative stress response as assessed by glucose and lactate level and total duration of ICU stay 5. To study the procedure related complicationsTimepoint: in the first 6hr 12hour 18hour & 24hour

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Countries

India

Contacts

Public ContactShrinivas V Gadhinglajkar

Sree Chitra Tirunal Institute for medical sciences and technology

shri@sctimst.ac.in9446304043

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026