Circulatory System Surgery Paediatrics Cardiology Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: This study will be conducted on 80 patients of either sex with their age ranging from 2 to 12 years submitted for on pump elective repair of congenital simple left to right intra cardiac shunt via median sternotomy
Exclusion criteria
Exclusion criteria: Patients will be excluded from the current study in case of refusal of their guardians, redo cardiac surgery, previous back injury or surgery which would preclude the performance of needle puncture, kyphoscoliosis, local infection of the skin and subcutaneous tissue at the site of needle puncture, hypersensitivity to local anesthetics, coagulation disorders, renal, hepatic or pulmonary disease, heart failure and moderate to severe pulmonary hypertension
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1- Total dose of intra operative fentanyl requirements. 2- Post operative pain according to objective pain discomfort score(OPDS) in children. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1-Heart rate [HR] and invasive mean arterial blood pressure [MAP] will be recorded; before induction of anesthesia (basal value), after induction of anesthesia, after skin incision, after sternotomy, 15 min after CPB and after the closure of sternum. 2- Total dose of intra operative fentanyl requirements (ug/kg). 3- Aortic cross clamping time (minutes). 4- Cardiopulmonary bypass time (minutes). 5-The number of patients who will be extubated in operating room (within 15 minutes of the end of surgery) were recorded. 6- Time to extubation (hours). 7- Post extubation PaO2, PaCO2 will be assessed each 3 hour for 24 hours. 8-Time of first rescue analgesia 9- Total dose of morphine consumption in the first 24 postoperative hours. 10- Intensive care unit (ICU) length of stay. 11- Postoperative complications (the need for re-intubation, nausea and vomiting, pruritus, respiratory depression and neurological deficits) will be reported | — |
Countries
Egypt
Contacts
Lecturer of Anesthesia and Surgical Intensive Care at faculty of medicine Mansoura University