Analgesic efficacy of ultrasound-guided mid-point transverse process to pleura block in pediatric patients undergoing open cardiac surgery: a randomized controlled study

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

PACTR

Registry ID

PACTR202202799603736

Enrollment

Registered

2022-02-16

Start date

2022-02-03

Completion date

Unknown

Last updated

2026-06-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Surgery Paediatrics Cardiology Anaesthesia

Interventions

no block

Ultrasound guided Midpoint transverse process to pleura block

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1- Children aged between 2 to 12 years 2- American Society of Anesthesiologists physical status ?& ? 3- Elective open cardiac surgery via median sternotomy

Exclusion criteria

Exclusion criteria: 1- Repeated cardiac surgery 2- Emergency surgery 3- Intubated patients 4- Bleeding disorders

Design outcomes

Secondary

Measure	Time frame
1- Postoperative pain score at rest, that was assessed by modified objective pain discomfort score (MOPDS).in children at 1, 2, 6, 12, 18 and 24 hours after extubation. Fentanyl 1µg/kg will be given as a rescue analgesic when MOPS greater than 3 at rest. 2- Heart rate (HR) and mean arterial pressure (MAP) before and after induction of anesthesia, after skin incision, after sternotomy, 15 minutes after CPB and after the closure of sternum. 3- Total intraoperative fentanyl consumption (µ/kg) starting from induction of anesthesia till the end of surgery. 4- Aortic cross clamping time (min) starting from the application of the clamp to aorta till its removal after completing the surgical repair. 5- CPB time and duration of surgery. 6- Time to first rescue analgesia. 7- Intensive care unit (ICU) length of stay.	—

Measure

Time frame

1- Postoperative pain score at rest, that was assessed by modified objective pain discomfort score (MOPDS).in children at 1, 2, 6, 12, 18 and 24 hours after extubation. Fentanyl 1µg/kg will be given as a rescue analgesic when MOPS greater than 3 at rest. 2- Heart rate (HR) and mean arterial pressure (MAP) before and after induction of anesthesia, after skin incision, after sternotomy, 15 minutes after CPB and after the closure of sternum. 3- Total intraoperative fentanyl consumption (µ/kg) starting from induction of anesthesia till the end of surgery. 4- Aortic cross clamping time (min) starting from the application of the clamp to aorta till its removal after completing the surgical repair. 5- CPB time and duration of surgery. 6- Time to first rescue analgesia. 7- Intensive care unit (ICU) length of stay.

—

Primary

Measure	Time frame
The total dose of fentanyl consumption in the first postoperative 24 hours.	—

Countries

Egypt

Contacts

Public ContactNabil Abdelraouf

Professor of anaesthesia faculty of medicine Mansoura university Egypt

nabil_abdelraouf@yahoo.com+201001536848

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Jun 27, 2026