Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Administration of bupivacaine with morphine through thoracic epidural in pediatric cardiac surgery: In epidural group we administrer bupivacaine along with morphine through thoracic epi
Sponsors
Pooja Chandran
Eligibility
Inclusion criteria
Inclusion criteria: 1. Paediatric patients one month to 12 years 2. Stat 1, 2, 3, and 4 category surgeries 3. ASA status I, II, and III with sinus rhythm 4. Elective cardiac surgery 5. Surgery with midline sternotomy /thoracotomy
Exclusion criteria
Exclusion criteria: 1. Deranged coagulation profile 2. refusal to participate in study 3. Local anaesthetic allergy 4.Low cardiac output syndrome 5. STAT Cat 5
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of epidural analgesia (bupivacaine + morphine) added to general anaesthesia vs general anaesthesia plus systemic analgesia (fentanyl) on duration of mechanical ventilation in paediatric cardiac surgery.Timepoint: At the time of extubation | — |
Secondary
| Measure | Time frame |
|---|---|
| Comparison of epidural analgesia (bupivacaine +morphine) added to general anaesthesia vs general anaesthesia plus systemic analgesia (fentanyl) on postoperative pain score using FLACC scale at 6 hours, 12 hours, & 24 hours in paediatric cardiac surgery.Timepoint: At 12 hours , 24 hours & 48 hours after surgery.;Comparison of epidural analgesia (bupivacaine + morphine) added to general anaesthesia vs general anaesthesia plus systemic analgesia (fentanyl) on length of ICU stay in paediatric cardiac surgeryTimepoint: from the time of admission in the ICU to shifting to ward;Comparison of epidural analgesia (bupivacaine + morphine) added to general anaesthesia vs general anaesthesia plus systemic analgesia (fentanyl) on postoperative length of stay (PLOS) in paediatric cardiac surgeryTimepoint: from the time of admission in the ICU postoperatively to discharge from hospital, which is calculated in days;Comparison of epidural analgesia (bupivacaine + morphine) added to general anaesthesia vs general anaesthesia plus systemic analgesia (fentanyl) on vasoactive inotrope score (VIS) in paediatric cardiac surgeryTimepoint: Checked at 12 hours, 24 hours & 48 hours postoperatively;Comparison of epidural analgesia (bupivacaine + morphine) added to general anaesthesia vs general anaesthesia plus systemic analgesia (fentanyl) on re-operation, cumulative postoperative morbidity, in paediatric cardiac surgeryTimepoint: morbidity checked at 12 hours, 24 hours & 48 hours postoperatively;Comparison of epidural analgesia (bupivacaine + morphine) added to general anaesthesia vs general anaesthesia plus systemic analgesia (fentanyl) on the difference in duration of resumption of enteral feed in paediatric cardiac surgeryTimepoint: postoperatively the time at which semi solid feed starts | — |
Countries
India
Contacts
Public ContactDr Ajay Kumar
All India Institute of Medical Sciences, Rishikesh
Outcome results
None listed