Ultrasound Guided Intermediate Cervical Plexus Block for Congenital Muscular Torticollis

Ajou University School of Medicine32 enrolled

Overview

Congenital Muscular Torticollis (CMT) is a postural deformity of head and neck detected at birth or shortly after birth, primarily resulting from unilateral shortening of Sternocleidomastoid Muscle (SCM). Surgery could be chosen for the treatment for some children, which is accompanied by moderate pain and discomfort. The investigators focused the effectiveness of intermediates cervical plexus block because the dermatome of sensory of cervical plexus block is correlated to that of torticollis. So the effect of analgesia could decrease the use of analgesics.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Enrollment

Conditions

Congenital Muscular Torticollis

Interventions

ultrasound guided intermediate cervical plexus block with 0.25% ropivacaine 0.2 ml/kg

FentanylDRUG

fentanyl 0.5 µg/kg in postanesthetic care unit when more or equal to FLACC scale 4.

IbuprofenDRUG

ibuprofen in ward when more or equal to FLACC scale 4.

Eligibility

Sex: ALLMin age: 1 YearMax age: 7 Years

Medical Language ↔ Plain English

Inclusion Criteria: * ASA I-II * Undergoing general anesthesia for unipolar sternocleidomastoid release in patient with congenital muscular torticollis Exclusion Criteria: * coagulation disorder * kidney or liver disease * allergy to local anesthetics

Locations (1)

Ajou University School of Medicine

Suwon, Gyeonggi-do, South Korea

Outcomes

Primary Outcomes

Pain on the FLACC scale

Time frame: at 5 min after postanesthesia care unit admission

Data from ClinicalTrials.gov

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