Bilateral Paravertebral Blockade (T7-10) vs. Incisional Local Anesthetic Administration for Pediatric Patients

• Status: Completed
• Trial end date: 2013-05-01
• Target enrollment: 0
• Participant gender: All

Summary

The objective of this study is to assess the efficacy of paravertebral nerve blocks, single shot, with ropivacaine 0.5% for postoperative pain control after elective laparoscopic cholecystectomy as compared with incisional administration of same local anesthetic at laparoscopic insufflation ports by the surgeon.

• Phase: N/A
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: Children's Hospital of Pittsburgh; Mihaela Visoiu
• Treatments: Anesthetics; Anesthetics, Local; Ropivacaine

Criteria

Inclusion Criteria:

• pediatric patients scheduled for elective laparoscopic cholecystectomy under general anesthesia

• 8-17 yrs, female and male

• ASA 1, 2, 3

• more than 30 Kg

• BMI less than 36 (to calculate will use http://www.globalrph.com/bmi.htm )

• the patient must be able to self administer opioids via patient control analgesia (PCA)

• the patient must be able to complete postoperative questionnaires for pain score, pain type, location, patient satisfaction

• the patient will to be admitted for 24 hrs after surgery

Exclusion Criteria:

• patient refusal

• parental/guardian refusal

• history of coagulopathy, INR more than 1.5, platelets less than 100 000, PT , PTT more than normal value, patient on Coumadin, heparin or low molecular weight heparin ( LMWH)

• local infection at the planned block site

• vertebral anomalies, (e.g. scoliosis)

• BMI more or equal 36

• patient unable to self administer medications via PCA

• allergy to dilaudid, oxycodone, acetaminophen, ropivacaine

• chronic opioid use

• current weight less than 30 kg

• acute pain (pain on day of surgery that requires pain medication)

• pregnancy test positive