Erector Spinae Plane Block Versus Fentanyl Infusion in Pediatric Patients Undergoing Aortic Coarcitectomy
Status:
Recruiting
Trial end date:
2020-07-01
Target enrollment:
Participant gender:
Summary
Pain is considered to be subjective, however in children it is believed to be felt rather
than expressed, because they often depend on the caregiver for their safety and well-being.
There is significant pain after thoracotomy surgery because of pleural and muscular damage,
ribcage disruption, and intercostal nerve damage during surgery, which if not effectively
managed, it will lead to various systemic complications; pulmonary (atelectasis, pneumonia,
and stasis of bronchial secretions), cardiovascular (increased oxygen consumption and
tachycardia), musculoskeletal (muscle weakness), increased neuro-hormonal response and
prolonged hospital stay. So adequate and sufficient post-operative analgesia for paediatric
patients is mandatory.
The use of highly potent opioids for paediatric cardiac anaesthesia has gained widespread
popularity during the last 20 years.In addition to the important advantage of hemodynamic
stability, the large-dose opioid-based anaesthetic techniques also blunt the stress response,
However, large doses can cause oversedation, respiratory depression, and prolonged mechanical
ventilation after surgery.
Erector Spinae Plane Block (ESPB), recently developed by Forero et al, is a novel technique
in management of thoracic neuropathic pain guided by ultrasound. It became popular because it
is much safer and easily administered than other alternative regional techniques as thoracic
paravertebral and thoracic epidural block.
To our knowledge, Erector Spinae Plane Block (ESPB) performed in aortic coarcitectomy
operations has not been investigated yet.This has encouraged the performance of the present
study.