The purpose of this study is to evaluate the efficacy of erector spinae plane (ESP) block in children after pectus excavatum repair (nuss procedure).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
30
Using ultrasound, place the needle in the erector spinae fascia plane at T7-8 level. Then, 0.25% ropivacaine 0.5 ml is injected to confirm the needle location. After checking the location, 0.25% ropivacaine 0.5 ml/kg is administered. This procedure is repeated at contralateral side.
Seoul national university hospital
Seoul, South Korea
RECRUITINGPain score
The Face, Legs, Activity, Cry, Consolability (FLACC) scale is used. FLACC scale is a measurement used to assess pain for children between the ages of 2 months and 7 years or individuals that are unable to communicate their pain. The scale is scored in a range of 0-10 with 0 representing no pain. The scale has five criteria, which are each assigned a score of 0, 1 or 2.
Time frame: 1 hour after surgery
Fentanyl dosage (mcg/kg)
Total dosage of fentanyl used postoperatively via patient controlled analgesia (mcg/kg)
Time frame: until hospital discharge (postoperative day 3)
Dose of rescue analgesics (mg/kg)
If additional analgesics are required due to uncontrolled pain, intravnous acetaminophen and ketocin can be administered.
Time frame: until hospital discharge (postoperative day 3
Plasma concentration of ropivacaine
Plasma concentration of ropivacaine after injection
Time frame: 5, 10, 20, 30, 60, 120 minutes after injection
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