Truncal Ultrasound Guided Regional Anesthesia for Implantation and Revision of Automatic Implantable Cardioverter Defibrillators (AICDs) and Pacemakers in Pediatric Patients

The University of Texas Health Science Center, Houston19 enrolled

Overview

The purpose of this study is to determine the efficacy and safety of truncal blocks for pacemaker and Automatic Implantable Cardioverter Defibrillator implantation in children and to prospectively evaluate whether there is a decrease in amount of narcotic medications need and track complications.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Analgesia After Pacemaker AICDS Implantation Pediatrics

Interventions

LA group

Eligibility

Sex: ALLMin age: 0 YearsMax age: 17 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients undergoing implantation or revision of pacemaker or AICD in the pediatric cath lab Exclusion Criteria: * parent or patient refusal * use of narcotic medications prior to procedure

Outcomes

Primary Outcomes

Total Narcotic Dose in Milligram Morphine Equivalents (MME) Per Kilogram

Time frame: From 24 hours after procedure to 48 hours after procedure

Total Narcotic Dose in Milligram Morphine Equivalents (MME) Per Kilogram

Time frame: up to 24 hours after procedure

Secondary Outcomes

Pain as Measured by the Visual Analog Scale (VAS) Pain Score

VAS pain scale is a range of scores from 0-100. A higher score indicates greater pain intensity.

Time frame: up to 1.5 hours post procedure in post anesthesia care unit (PACU)

Pain as Measured by the Visual Analog Scale (VAS) Pain Score

VAS pain scale is a range of scores from 0-10. A higher score indicates greater pain intensity.

Time frame: up to 24 hours post procedure

Pain as Measured by the Face, Legs, Activity, Cry, Consolability (FLACC) Pain Assessment Scale

Face, Legs, Activity, Cry, Consolability (FLACC) Pain Assessment measures pain with a total score that ranges from 0 to 10; a higher score indicating greater pain.

Time frame: up to 6 hours post procedure in post anesthesia care unit (PACU)

Number of Patients With the Incidence of Pruritis