Children undergoing ear reconstruction with autologous costal cartilage
Conditions
Interventions
Group A:Serratus anterior muscle block alone
Group B:Serratus anterior plane block combined with parsternal block
Sponsors
Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
Eligibility
Sex/Gender
All
Age
5 Years to 12 Years
Inclusion criteria
Inclusion criteria: 1. For children who are scheduled to undergo external ear reconstruction with costal cartilage transplantation in our hospital, 3 (6th, 7th, 8th rib) cartilages were used; 2. Aged 5-12 years, body mass index (BMI) : 19-25, ASA? - ?.
Exclusion criteria
Exclusion criteria: 1. A history of long-term use of analgesics (e.g., opioids, acetaminophen, or nonsteroidal anti-inflammatory drugs); 2. History of abnormal coagulation; 3. Allergic to the proposed drug; 4. Skin infection at the puncture site of nerve block; 5. Patients with less or more than 3 costal cartilages; 6. Patients with speech and mental disorders and unable to complete pain score and postoperative recovery quality score.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative quality of recovery scale 15 (QoR-15) score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Resting, coughing pain scores;Use of sufentanil analgesic pump within 24 hours;Use of oral remedial analgesics;Opioid side effects;Hemopneumothorax, nerve injury, local anesthetic poisoning, etc.;First time out of bed;Ear numeric rating method pain score;The satisfaction of patient and surgeon;Ramsay score;Intraoperative dosage of propofol;Boezaart surgical field score;Cough score during extubation;Extubation agitation score;Take which rib cartilage and length;Surgery duration, extubation duration;Length of stay;The time of the first analgesic pump pressure;Duration of post-anesthesia care unit (PACU) stay;Heart rate;Blood pressure; | — |
Countries
China
Contacts
Public ContactChen Chunmei
Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
Outcome results
None listed