Ignite Creation Date:
2024-07-17 @ 10:40 AM
Last Modification Date:
2024-10-26 @ 3:34 PM
Study NCT ID:
NCT06498583
Status:
RECRUITING
Last Update Posted:
2024-07-12
First Post:
2024-06-28
Brief Title:
Effect of Ultrasound-guided Erector Spinae Plane Block on Postoperative Pain and Sleep Quality of Infants With Congenital Pulmonary Cystic Disease After Thoracoscopic Surgery
Sponsor:
Lei Xiaoming
Organization:
Xibei Hospital
Study Overview
Official Title:
Effect of Ultrasound-guided Erector Spinae Plane Block on Postoperative Pain and Sleep Quality of Infants With Congenital Pulmonary Cystic Disease After Thoracoscopic Surgery
Status:
RECRUITING
Status Verified Date:
2024-09
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:
This study intends to evaluate the effect of erector spinae plane block on postoperative analgesia and sleep quality in infants with congenital cystic pulmonary disease after thoracoscopic surgery and provides reference for perioperative pain treatment in children
Detailed Description:
Severe pain may occur after pediatric thoracic surgery such as skin incision rib traction drainage tube placement or intercostal nerve dysfunction caused by suture Pain may cause weakened coughing power to clear secretions decreased functional residual capacity leading to pulmonary complications such as atelectasis and pneumonia and postoperative acute pain develops into chronic pain It has been reported that postoperative sleep disorders are associated with increased pain scores which are very unfavorable for postoperative rehabilitation of pediatric patients In clinical practice because infants cannot accurately describe pain their postoperative pain management may not be sufficient and has not received enough attention But some studies have shown that infants may feel more severe pain than adults and the pain has a more obvious and lasting effect on infants and young children than on adults
Congenital pulmonary cystic disease is a rare congenital pulmonary developmental abnormality in clinic It cant heal itself and is easy to cause various complications Once diagnosed surgical treatment should be considered immediately
In the past experience thoracic epidural block and thoracic paravertebral nerve block are commonly used for postoperative analgesia in thoracic surgery but they have taboos such as abnormal coagulation function high technical requirements and potential risks of serious complications
Since the erector spinae plane block ESPB was first reported and successfully implemented in 2016 because it is far away from the neural axis major vascular structures pleura and other structures with a lower possibility of complications simpler operation and higher safety it has been widely used in perioperative analgesia and acute and chronic pain in cardiothoracic surgery breast surgery abdominal surgery spinal surgery etc However the reports on pediatric patients are still mainly case reports and there is a lack of large-sample randomized controlled clinical trials Therefore this study intends to perform erector spinae plane block under ultrasound guidance to observe the effect on postoperative analgesia and sleep quality in pediatric thoracoscopic surgery
Congenital pulmonary cystic disease is a rare congenital pulmonary developmental abnormality in clinic It cant heal itself and is easy to cause various complications Once diagnosed surgical treatment should be considered immediately
In the past experience thoracic epidural block and thoracic paravertebral nerve block are commonly used for postoperative analgesia in thoracic surgery but they have taboos such as abnormal coagulation function high technical requirements and potential risks of serious complications
Since the erector spinae plane block ESPB was first reported and successfully implemented in 2016 because it is far away from the neural axis major vascular structures pleura and other structures with a lower possibility of complications simpler operation and higher safety it has been widely used in perioperative analgesia and acute and chronic pain in cardiothoracic surgery breast surgery abdominal surgery spinal surgery etc However the reports on pediatric patients are still mainly case reports and there is a lack of large-sample randomized controlled clinical trials Therefore this study intends to perform erector spinae plane block under ultrasound guidance to observe the effect on postoperative analgesia and sleep quality in pediatric thoracoscopic surgery
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