postoperative pain of pediatric cardiac surgery
Conditions
Interventions
paravertebral block group (experimental group):After surgery, patients in the experimental group undergo paravertebral block using drug A, and local infiltration anesthesia using drug B. For the exper
local infiltration anesthesia group (control group):After surgery, patients in the control group undergo paravertebral block using drug A, and local infiltration anesthesia using drug B. For the exper
Sponsors
Fuwai Hospital, National Center for Cardiovascular Diseases
Eligibility
Sex/Gender
All
Age
6 Years to 14 Years
Inclusion criteria
Inclusion criteria: (1) Children aged 6-14 years old; (2) Children who have atrial septal defect or ventricular septal defect scheduled for lateral incision cardiac surgery with cardiopulmonary bypass; (3) Inform consent signed by the parent or legal guardian.
Exclusion criteria
Exclusion criteria: (1) Patients who were intubated, on mechanical circulatory support, or with intravenous inotropes before surgery; (2) Emergency surgery or redo cardiac surgery; (3) Body weight more than 50 kg; (4) Diagnosed as severe pulmonary hypertension; (5) Left ventricular ejection fraction less than 45% in most recent echocardiography before surgery; (6) Allergic to ropivacaine or other regular anesthetics, analgesics or other medications regularly used in the study; (7) Preoperative platelet counts less than 100*109/L, coagulopathy or bleeding tendency ; (8) Preoperatively using antiplatelets or anticoagulants; (9) Diagnosed with scoliosis or other contraindications for PVB.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| total opioid consumption during the first 24h after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| FPS-R score at 6h, 12h, 18h, 24h postoperatively;The rate of opioid treatment for remedial analgesia between groups;The first time of FPS-R=4 postoperatively; | — |
Countries
China
Contacts
Public ContactJingfei Guo
Fuwai Hospital, National Center for Cardiovascular Diseases
Outcome results
None listed