Anesthesia, Local, Congenital Heart Defect, Congenital Heart Disease, Opioid Use
Conditions
Brief summary
The erector spinae plane block is a novel regional anesthetic technique that allows for analgesia of the thorax and abdomen with a peripheral nerve block. The goals of this study are to determine if bilateral erector spinae plane blocks (ESPB) after sternotomy for congenital heart repair in high risk children and adults can decrease outcomes such as duration of postoperative mechanical ventilation (MV), perioperative opioid consumption, days in the intensive care unit (ICU) and length of stay (LOS).
Interventions
PROCEDUREBilateral Erector Spinae Plane Block (ESPB)
Bilateral ESPBs will be placed after anesthesia induction in eligible and consented patients who are undergoing a sternotomy for congenital heart repair. Patients will receive a local anesthetic agent through each catheter prior to surgery start. If possible, levels of the local anesthetic will be measured during the case. After surgery, patients will be admitted to the CVICU and extubation will be managed by the CVICU team. The ESPB group will have an automatic, alternating side boluses of the local anesthetic started through their nerve block catheters. Levels of the local anesthetic will be measured at intervals.
Sponsors
Stanford University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
0 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
i) Ages 0-99 ii) Give consent/parental consent to participate in study iii) Patients undergoing sternotomy for congenital heart repair surgeries
Exclusion criteria
i) Participants who do not consent or have parental consent ii) Patients who are clinically unstable or require urgent/emergent intervention iii) Patients under 5kg
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Median time to extubation in patients with ESPB | Duration of postoperative recovery (typically 1-2 weeks) |
| Median Cardiovascular Intensive Care Unit (CVICU) LOS in patients with ESPB | Duration of postoperative recovery (typically 1-2 weeks) |
| Determine average post-operative pain scores in patients with ESPB | Duration of postoperative recovery (typically 1-2 weeks) |
| Determine opioid consumption | Duration of postoperative recovery (typically 1-2 weeks) |
Countries
United States
Outcome results
None listed