Regional Anesthesia
Conditions
Keywords
pecto-intercostal fascial block, pediatric congenital cardiac surgery, postoperative pain management
Brief summary
The goal of this study is to compare patients outcome in two groups. the first group will be applied pecto-intercostal fascial block additional to general anesthesia and the second group will not. This is a single-center, prospective, observational trial to study the efficacy of Pecto-intercostal Fascial Block (PIFB) in patients undergoing pediatric congenital cardiac surgery requiring median sternotomy and cardiopulmonary bypass. The children are aged between 6 months to 12 years with American Society of Anesthesiologists (ASA) score 2 or 3. The main question it aims to answer are: The investigators' first question is if applying pecto-intercostal fascial block just after anesthesia induction reduces postoperative pain status. Secondly, if this pain status makes any reduction in preoperative opioid consumption. The investigators aim to find out; if there is any difference in opioid consumption during operation and postoperative 24-hour, postoperative Face, Legs, Activity, Cry, Consolability (FLACC) scale, length of intensive care unit and hospital stays, and other complications.
Interventions
None listed
Sponsors
Başakşehir Çam & Sakura City Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
6 Months to 12 Years
Inclusion criteria
* patients undergoing pediatric congenital cardiac surgery requiring median sternotomy and cardiopulmonary bypass. * age between 6 months and 12 years * ASA score 2 or 3 * Risk Adjustment for Congenital Heart Surgery (RACHS-1) score under 4
Exclusion criteria
* patients who need mechanical ventilation support before surgery * patients who need to stay intubated more than 24 hours after surgery * patients undergo complex cardiac surgery with RACHS-1 score higher than 4. * patients without consent * having allergic reaction to bupivacaine * having cardiac surgery before (redo patient)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Score | at the time of extubation, 1st hour after extubation, 2nd hour after extubation, 6th hour after extubation, 12th hour after extubation, 24th hour after extubation | Face, Legs, Activity, Cry, Consolability scale (FLACC scale), FLACC is a behavioral pain assessment scale used for nonverbal or preverbal patients who are unable to self-report their level of pain. Pain is assessed through observation of 5 categories including face, legs, activity, cry, and consolability. The values are between 0 and 10. The higher the score the worse the pain and outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| peroperative opioid consumption | during operation | sum of fentanyl and remifentanil consumption in micrograms |
| Paracetamol consumption | From extubation to 24 hours after extubation. | paracetamol in milligrams |
| Postoperative opioid consumption | From extubation to 24 hours after extubation. | morphine usage in milligrams |
| dexmedetomidine consumption | From the beginning of dexmedetomidine infusion to 24 hours after extubation | dexmedetomidine in micrograms |
Other
| Measure | Time frame | Description |
|---|---|---|
| intensive care stay | up to 24 weeks | length of intensive care stay in days |
| hospital stay | up to 1 year | hospital stay in days |
| extubation time | up to 24 hours | time of extubation in hours |
Countries
Turkey (Türkiye)
Contacts
Primary Contactselin sağlam
Outcome results
None listed