Health Condition 1: J958- Other intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified
Conditions
Interventions
Intervention1: Erector Spinae plane block: The Erector Spinae Plane (ESP) block is an ultrasound-guided injection of local anesthetic deep to the erector spinae muscle, aiming to block spinal nerves f
Sponsors
All Indian Institute of Medical Sciences
Eligibility
Inclusion criteria
Inclusion criteria: 1.Children aged 2 months to 10 years 2. ASA Physical status I-III 3. Scheduled for thoracoscopic surgery
Exclusion criteria
Exclusion criteria: 1. Known allergy or hypersensitivity to local anesthetics such as ropivacaine 2. Coagulopathy or bleeding disorders, or if the patient is receiving anticoagulant therapy 3. Infection at the proposed injection site (e.g., local cellulitis or abscess) 4. Pre-existing neuromuscular disorders (e.g., muscular dystrophy, myasthenia gravis) or chronic pain conditions that may interfere with pain perception or assessment 5. Developmental delay or cognitive impairment that prevents reliable use of the FLACC pain scale 6. Refusal to participate by parent or legal guardian or withdrawal of consent at any point 7. Requirement for postoperative mechanical ventilation, either planned or anticipated intraoperatively 8. Conversion to thoracotomy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of postoperative pain intensity between the ESPB and SAPB groups, specifically measured using the FLACC score at the 3 hour mark post surgery.Timepoint: at 3 hour mark after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Compare the total intraoperative and postoperative fentanyl consumption between the Erector Spinae Plane Block (ESPB) group and the Serratus Anterior Plane Block (SAPB) group.Timepoint: During surgery and till 24 hrs post surgery;Compare postoperative pain intensity using the FLACC (Face, Legs, Activity, Cry, Consolability) score at 1, 6, 12 and 24 hours postoperatively between the two groups.Timepoint: At 1, 6, 12, 24 hours postoperatively;Compare the time interval from the end of surgery to the first administration of rescue analgesia between the two groups.Timepoint: Until 24 hours postoperatively;Assess parental satisfaction with the allocated postoperative pain management regimen using a 5-point Likert scale.Timepoint: During 24 hour postoperative period;Assess early functional recovery using caregiver-reported outcomes, potentially including parameters like mobility, feeding, and sleep patterns.(Boretsky recover Bingo cardTimepoint: During 24 hour postoperative period;Compare salivary cortisol levels, as a physiological marker of stress, at baseline, at one hour, and 24 hours postoperatively between the two groups.Timepoint: Baseline, at one hour and 24 hours post surgery;Evaluate and compare the incidence of adverse events, including postoperative nausea and vomiting (PONV), sedation, hypotension, and any complications directly related to the nerve block procedure (e.g., hematoma, infection, visceral injury), between the two groups.Timepoint: During surgery and till 24 hour post operative period | — |
Countries
India
Contacts
Public ContactAnju Gupta
All India Institute of Medical Sciences
Outcome results
None listed