Surgery Paediatrics Cardiology Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
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
Primary
| Measure | Time frame |
|---|---|
| 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.The total dose of fentanyl consumption in the first postoperative 24 hours. | — |
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- The total dose of fentanyl consumption in the first postoperative 24 hours. 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. | — |
Countries
Egypt
Contacts
Assistant professor of anesthesia faculty of medicine Mansoura university Egypt.;professor of anesthesia faculty of medicine Mansoura university Egypt.