Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • All pediatric patients presented for open-heart surgery utilizing median sternotomy. • ASA physical status 2-3 • Sex (males and females) • Age 1-5 years.
Exclusion criteria
Exclusion criteria: • Hypersensitivity to local anesthetic. • Parental refusal. • Surgeon refusal. • Infection at the site of injection. • Preoperative critically ill child. • Any coagulopathy. • Non-sternotomy approaches, e.g., thoracotomy. • Postoperative Hemodynamic instability or high doses of inotropic support.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative pain score utilizing Modified Objective Pain Score (MOPS) immediately after extubation. utilizing Crying Movement Agitation Posture Verbal The minimum score is 0 and the maximum is 10; the higher the score, the greater the pain experience for the child. | — |
Secondary
| Measure | Time frame |
|---|---|
| MOPS Postextubationin time Intervals up to 12 Hours;PAED score on arrival to ICU.;Total fentanyl consumption in the first 24 hours;Time of the first rescue analgesia (rescue analgesia will be given in case of breakthrough pain MOPS = 4 inform of 0.5 mcg/kg fentanyl);ICU stay | — |
Countries
Egypt
Contacts
lecturer of anesthesia faculty of medcine ain shams university