Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Retrolaminar plane block (RLB): RLB will be administered after induction of anaesthesia. In the left lateral position, under the ultrasound guidance plane bupivacaine 0.06%, 1.5 ml/kg
Sponsors
Amrita Institute of Medical Sciences
Eligibility
Inclusion criteria
Inclusion criteria: Children less than 18 years old undergoing elective cardiac surgical procedures in pediatric cardiac surgical unit of AIMS Kochi will be included.
Exclusion criteria
Exclusion criteria: 1) Emergency surgeries 2) Parent refusal 3) Bleeding disorders 4) Allergy to amide local anesthetics
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The presence of surgical incision response in the form of heart rate rises more than ten per cent from the baselineTimepoint: 1. Before incision 2. 30 seconds after incision | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Intraoperative sevoflurane, fentanyl and dexmedetomidine consumption 2) Time taken to complete the block procedure 3) Critical-care Pain Observation Tool (CPOT) based pain assessment 2 hour, 4 hour and 6 hours and 12 hours after surgery. 4) Duration of ventilation, ICU stay and reintubations 5) Respiratory related cost; in terms of mechanical ventilation charge and cost of consumables Timepoint: Outcome 2- at the time of giving the block Outcome 1- at the end of the surgery, before shifting patient to the ICU outcome 3- during ICU sty outcome 4 and 5- at the end of ICU stay. | — |
Countries
India
Contacts
Public ContactDr Rajesh MG
Amrita Institute of Medical Sciences and Research, Kochi
Outcome results
None listed