Ultrasound-guided thoracic retrolaminar block versus erector spinae plane block on opioid consumption after pediatric open-heart surgery

The effect of ultrasound-guided thoracic retrolaminar block versus erector spinae plane block on opioid consumption after pediatric open-heart surgery: a randomized controlled non-inferiority study

Status

Active, not recruiting

Phases

Phase 2

Study type

Interventional

Source

PACTR

Registry ID

PACTR202207485098938

Enrollment

Registered

2022-07-08

Start date

2022-07-01

Completion date

Unknown

Last updated

2026-08-03

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

Conditions

Circulatory System Surgery Paediatrics Anaesthesia

Interventions

thoracic retrolaminar block TRLB Group2

Erector spinae plane block ESPB group 1

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Children aged between 2 to 12 years. 2. Elective open cardiac surgery via median sternotomy for the repair of simple congenital heart diseases. 3. ASA I:III

Exclusion criteria

Exclusion criteria: 1. Repeated cardiac surgery. 2. Emergency surgery. 3. Intubated patients. 4. Patients receiving inotropic support. 5. Presence of pulmonary hypertension. 6. Presence of bleeding disorders. 7. Presence of allergy to the amide local anesthetics. 8. Presence of thoracic spine deformity and history of thoracic vertebrae trauma or surgery.

Design outcomes

Primary

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

Secondary

Measure	Time frame
Postoperative pain score at rest, that was assessed by modified objective pain discomfort score (MOPDS) in children ;Total intraoperative fentanyl requirements. Time to first rescue analgesia. Intensive care unit (ICU) length of stay. The incidence of postoperative complications (pruritus, nausea and vomiting, pneumothorax, hematoma or local anesthetic toxicity) ;Aortic cross clamping time. Cardiopulmonary bypass (CPB) time and duration of surgery	—

Measure

Time frame

Postoperative pain score at rest, that was assessed by modified objective pain discomfort score (MOPDS) in children ;Total intraoperative fentanyl requirements. Time to first rescue analgesia. Intensive care unit (ICU) length of stay. The incidence of postoperative complications (pruritus, nausea and vomiting, pneumothorax, hematoma or local anesthetic toxicity) ;Aortic cross clamping time. Cardiopulmonary bypass (CPB) time and duration of surgery

—

Countries

Egypt

Contacts

Public ContactRania Elmohamady Elbadrawy

Rania E. Elbadrawy

raniaelmohamady@gmail.com00201128819560

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Aug 9, 2026