Deep Parasternal Intercostal Plane Block Versus Erector Spinae Plane Block in Pediatric Cardiac Patients Undergoing Primary Repair of Septal Defects Via Median Sternotomy

Launched by AIN SHAMS UNIVERSITY · Mar 7, 2025

Keywords

ClinConnect Summary

Pediatric cardiac surgery involving median sternotomy can be associated with significant postoperative pain. Poorly controlled pain following cardiac surgery has been shown to be a risk factor for increased morbidity, including severe cardiopulmonary dysfunction, hypercoagulability, and immunosuppression.

Post-operative pain management, which provides effective analgesia, minimizes side effects and contributes to enhanced recovery after surgery, is a unique challenge in the pediatric cardiac surgery population. The ideal post-operative analgesic regimen would enable early separation from m...

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Eligibility criteria

• Inclusion Criteria:
• • Pediatric patients with acyanotic heart disease
• • Patients with septal defect undergoing primary repair
• • ASA Ⅰ and Ⅱ
• Exclusion Criteria:
• • Patient's guardian refusal of procedure or participation in the study.
• • Patients with hemodynamic instability
• • Preexisting infection at the block site
• • Allergy to local anesthetics
• • Psychiatric illness
• • Abnormal coagulation profile
• • Preoperative ejection fraction less than 35%
• • Recurrent ventricular arrhythmias
• • Emergency Surgery
• • Redo surgeries