PECs Block for Pacemaker Insertion in Children
Study Details
Study Description
Brief Summary
Evaluation of Ultrasound Guided Modified Pectoral Nerves Blocks in Transvenous Subpectoral pacemaker insertion in Children: Randomized Controlled Trial
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Detailed Description
BACKGROUND Pectoral nerve blocks (PECs) can reduce intraprocedural anesthetic requirements and postoperative pain. Little is known about the utility of PECs in reducing pain and narcotic use after pacemaker (PM)placement in children. OBJECTIVE The purpose of this study was to determine whether PECs can decrease postoperative pain and opioid use after PM placement in children.
METHODS A single-center controlled trial of pediatric patients undergoing transvenous PM placement between 2020 and 2021 will be performed. Demographics, procedural variables, postoperative pain, and postoperative opioid usage will be compared between patients who undergone PECs and those who undergone conventional anesthetic (Control).
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: control conventional control group(C) (n=20) where20 children will receive IV paracetamol 20 mg / kg and atracurium top ups at a dose of 0.1mg/kg. every 30 minutes. |
Drug: paracetamol
iv post operative analgesia
Other Names:
|
Active Comparator: PECs Pectoral nerves blocks group (P) (n=20) where 20 children will have PECs Block and atracurium top ups upon request. |
Procedure: modifiedPECs block
sonar guided pectoral nerve block
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Mean Post-operative pain score by The Face, Legs, Activity, Cry, Consolability scale (FLACC) scale. [immediate, 6,12 ,18 and 24 hours after intervention]
pain score
Secondary Outcome Measures
- Total consumption of opioids. [immediate, 6,12 ,18 and 24 hours after intervention]
morphine dose
Eligibility Criteria
Criteria
Inclusion Criteria:
- congenital or post-operative heart block.
Exclusion Criteria:
-
⦁ Redo patient
-
History of allergic reactions to local anesthetics.
-
Bleeding disorders with International Normalization Ratio( INR) > 1.5 and/or platelets < 50 000.
-
Rash or signs of infection at the injection site.
-
Emergency procedure
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Kasr Al Ainy Hospital | Cairo | Egypt | 11562 |
Sponsors and Collaborators
- Kasr El Aini Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- MS-316-2020