Comparison of Two Regional Anaesthetic Blocks for ERAS After Congenital Cardiac Surgery

Study Overview
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Brief Summary
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The current study is designed to compare the perioperative analgesic efficacy of transversus thoracis plane block (TTPB) and Pecto-intercostal-fascial plane block (PIFB) in children undergoing cardiac surgery via median sternotomy

Detailed Description
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Sixty paediatric patients of either sex, aged 2-12 years, undergoing elective cardiac surgery via median sternotomy. Patients will be excluded from the current study in case of, refusal to participate, redo or urgent cardiac surgery, local infection of the skin at the site of needle puncture, allergy to bupivacaine, coagulation disorders, clinically significant liver or kidney disease, heart failure, moderate to severe pulmonary hypertension, and when extubation is intentionally planned to be delayed. Patients will be randomly assigned to one of two equal groups, the PIF block group and TTP block group, each will include 30 patients, by a computer-generated randomization table and concealed sealed opaque envelopes.

Official Title
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Comparison of Pectointercostal Block and Transverse Thoracic Plane Block for ERAS Post Congenital Cardiac Surgery

Conditions
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Local Infiltration

Intervention / Treatment
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* Procedure: Regional anaesthesia


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: either sex, aged 2-12 years, undergoing elective cardiac surgery via median sternotomy Exclusion Criteria: refusal to participate, redo or urgent cardiac surgery, local infection of the skin at the site of needle puncture, allergy to bupivacaine, coagulation disorders, clinically significant liver or kidney disease, heart failure, moderate to severe pulmonary hypertension

Ages Eligible for Study
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Minimum Age: 2 Years
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: TRANSEVERSUS THORACIS MUSCLE PLANE BLOCK (TTPB)<br>After induction of anaesthesia, ultrasound guided transverses thoracis muscle plane block will be done using 0.25% bupivacaine | Procedure: Regional anaesthesia<br>* Regional anaesthesia for sternotomy incision for congenital cardiac surgery<br>|
| Active Comparator: PECTO-INTERCOSTAL FACIAL PLANE BLOCK (PIFB)<br>After induction of anaesthesia, ultrasound guided pectointercostal facial plane block will be done using 0.25% bupivacaine | Procedure: Regional anaesthesia<br>* Regional anaesthesia for sternotomy incision for congenital cardiac surgery<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Weight, height , BMI | Weight in kg and height in cm to allow BMI measurement weight (kg) / height (m2) | 1 year | 
| Postoperative pain score | Postoperative pain score at rest, hemodynamic effects, analgesic consumption | 1 year |