Pain Management of Pecto-intercostal Fascial Block Versus Intravenous Fentanyl After Pediatric Cardiac Surgery

• Status: Not yet recruiting
• Trial end date: 2022-08-01
• Target enrollment: 0
• Participant gender: All

Summary

Cardiac surgical patients often experience significant postoperative pain at the median sternotomy site.

In pediatric cardiac surgery, the recommended pre bypass dose of fentanyl to blunt the hemodynamic and metabolic stress response is 25-50 µg/kg Today lower doses are often used in order to achieve early extubation at such doses there is no guarantee that the stress response is completely abolished one way to overcome this problem is the use of the local anesthetic technique Regional anesthetic techniques reduce pain for up to 24 hours after cardiac surgery in children.

Pectointercostal fascial block was first described by de la Torre in patients undergoing breast surgery. This novel technique blocks the anterior cutaneous nerve which is a branch of the intercostal nerve that gives sensory supply to the skin.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Mansoura University
• Treatments: Atracurium; Fentanyl; Propofol; Sevoflurane

Criteria

Inclusion Criteria:

• On pump

• Elective repair of congenital simple left to right intracardiac shunt

• Median sternotomy

Exclusion Criteria:

• Refusal of their guardians

• Redo cardiac surgery

• Previous back injury

• Previous back surgery

• Kyphoscoliosis

• Local infection of the skin and subcutaneous tissue at the site of needle puncture

• Hypersensitivity to local anesthetics

• Coagulation disorders

• Renal disease

• Hepatic disease

• Pulmonary disease

• Heart failure

• Moderate to severe pulmonary hypertension.