Ultrasound-Guided Serratus Anterior Plane Block Versus Erector Spinae Plane Block in Pediatric Cardiac Surgery
Status:
Recruiting
Trial end date:
2023-01-01
Target enrollment:
Participant gender:
Summary
Background and Objectives: Opioid based analgesia is the main used technique in pediatric
cardiac surgery which preclude fast-track recovery. Ultrasound guided regional fascial plane
blocks are used recently in many pediatric surgical procedure with excellent outcomes and
very low rate of complication. The investigators will compare ultrasound guided serratus
anterior plane block and erector spinae plane block in pediatric cardiac surgical procedure
through thoracotomy approach regarding effectiveness of postoperative analgesia, incidence of
complications and effect in ultrafast track recovery.
Methods: The investigators will enroll 64 pediatric patients aged from 6 months to 10 years
undergoing cardiac surgical procedure through thoracotomy approach either with or without
cardiopulmonary bypass in this prospective randomized study. After induction of general
anesthesia, the patients will be randomly assigned into 2 groups based regional fascial plane
block given (SAP group will receive ultrasound guided single shot serratus anterior plane
block and ESP group will receive ultrasound guided single shot erector spinae plane block).
The effectiveness of postoperative analgesia using FLACC pain score will be recorded as the
primary outcome while total consumption of analgesics, the time for rescue analgesia,
incidence of complications, and incidence of need for re-intubation will be recorded as the
secondary outcomes.