Ignite Creation Date:
2024-05-06 @ 7:23 PM
Last Modification Date:
2024-10-26 @ 3:06 PM
Study NCT ID:
NCT05999734
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-01-11
First Post:
2023-07-31
Brief Title:
Mid-transverse Process to Pleura Block in Pediatric Thoracotomy
Sponsor:
Tanta University
Organization:
Tanta University
Study Overview
Official Title:
Ultrasound-Guided Mid-Transverse Process to Pleura Block for Analgesia in Pediatric Thoracotomy A Randomized Controlled Study
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The aim of this study is to assess the effectiveness of analgesia of US guided MTP block in pediatrics undergoing thoracotomy
Detailed Description:
Pain following surgery is a universal phenomenon which up to now is often underestimated and undertreated especially in pediatrics Any postoperative analgesic technique should meet three criteria which are effectiveness universal applicability and safety
Thoracotomy is widely known to cause severe acute pain This pain can be very distressing for both children and their parents If not treated properly it may acutely cause ventilation-perfusion disorder and hypoxemia together with a change in lung mechanics It may lead to a delay in recovery with some long-term sequelae As a part of multimodal analgesia many regional blocks have been described
Regional anesthesia techniques are increasingly used in all surgical settings Even in the context of thoracic surgery new peripheral regional anesthesia techniques are being tested as alternatives to those already used This proliferation of new techniques is explained on the one hand by the evolution of surgical techniques which are becoming less and less invasive and on the other hand by the frequency and severity of the complications induced by thoracic epidural anesthesia and paravertebral block - currently the gold standards in context of pediatric setting
Paravertebral block PVB has gained more popularity than other regional analgesic techniques including epidural for perioperative analgesia in pediatric surgery Thoracic PVB provides adequate postoperative analgesia with favorable adverse effects The use of thoracic PVB is associated with decreased pain severity and opioid consumption in both adults and children
Many clinicians hesitate to apply the PVB technique due to the risk of serious complications such as pneumothorax Therefore the safest and most effective methods are being tried by clinicians In a study conducted on cadavers claimed that mid-transverse process to pleura MTP block an injection point midway between the pleura and posterior border of the transverse process provides a paravertebral block due to the paravertebral spread of the local anesthetic agent through fenestrations and septations in the superior costotransverse ligament They thought that MTP block may be as effective as PVB in postoperative pain management with less risk of possible complications
Thoracotomy is widely known to cause severe acute pain This pain can be very distressing for both children and their parents If not treated properly it may acutely cause ventilation-perfusion disorder and hypoxemia together with a change in lung mechanics It may lead to a delay in recovery with some long-term sequelae As a part of multimodal analgesia many regional blocks have been described
Regional anesthesia techniques are increasingly used in all surgical settings Even in the context of thoracic surgery new peripheral regional anesthesia techniques are being tested as alternatives to those already used This proliferation of new techniques is explained on the one hand by the evolution of surgical techniques which are becoming less and less invasive and on the other hand by the frequency and severity of the complications induced by thoracic epidural anesthesia and paravertebral block - currently the gold standards in context of pediatric setting
Paravertebral block PVB has gained more popularity than other regional analgesic techniques including epidural for perioperative analgesia in pediatric surgery Thoracic PVB provides adequate postoperative analgesia with favorable adverse effects The use of thoracic PVB is associated with decreased pain severity and opioid consumption in both adults and children
Many clinicians hesitate to apply the PVB technique due to the risk of serious complications such as pneumothorax Therefore the safest and most effective methods are being tried by clinicians In a study conducted on cadavers claimed that mid-transverse process to pleura MTP block an injection point midway between the pleura and posterior border of the transverse process provides a paravertebral block due to the paravertebral spread of the local anesthetic agent through fenestrations and septations in the superior costotransverse ligament They thought that MTP block may be as effective as PVB in postoperative pain management with less risk of possible complications
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None