Pectus Excavatum
Conditions
Brief summary
The purpose of this study is to evaluate the efficacy of erector spinae plane (ESP) block in children after pectus excavatum repair (nuss procedure).
Interventions
Using ultrasound, place the needle in the erector spinae fascia plane at T7-8 level. Then, 0.25% ropivacaine 0.5 ml is injected to confirm the needle location. After checking the location, 0.25% ropivacaine 0.5 ml/kg is administered. This procedure is repeated at contralateral side.
Sponsors
Study design
Eligibility
Inclusion criteria
* 30 children aged between 3 and 7 years who undergo Nuss bar insertion due to Pectus excavatum
Exclusion criteria
* Allergy to opioid * Allergy to local anesthetics * Disease in heart, lung, kidney, and liver * Coagulation disorder * Disease in central and peripheral nervous system
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain score | 1 hour after surgery | The Face, Legs, Activity, Cry, Consolability (FLACC) scale is used. FLACC scale is a measurement used to assess pain for children between the ages of 2 months and 7 years or individuals that are unable to communicate their pain. The scale is scored in a range of 0-10 with 0 representing no pain. The scale has five criteria, which are each assigned a score of 0, 1 or 2. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fentanyl dosage (mcg/kg) | until hospital discharge (postoperative day 3) | Total dosage of fentanyl used postoperatively via patient controlled analgesia (mcg/kg) |
| Dose of rescue analgesics (mg/kg) | until hospital discharge (postoperative day 3 | If additional analgesics are required due to uncontrolled pain, intravnous acetaminophen and ketocin can be administered. |
| Plasma concentration of ropivacaine | 5, 10, 20, 30, 60, 120 minutes after injection | Plasma concentration of ropivacaine after injection |
Countries
South Korea