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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Block | Experimental | ultrasound guided intermediate cervical plexus block with 0.25% ropivacaine 0.2 ml/kg. Fentanyl in postanesthesia care unit(PACU), Ibuprofen in ward when pain scale (FLACC) is equal to or more than 4. |
|
| No block | Placebo Comparator | Fentanyl in PACU, Ibuprofen in ward when pain scale (FLACC) is equal to or more than 4. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| intermediate cervical plexus block | Other | ultrasound guided intermediate cervical plexus block with 0.25% ropivacaine 0.2 ml/kg |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain on the FLACC scale | at 5 min after postanesthesia care unit admission |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| yun jeong chae, Ph.D | Ajou University School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ajou University School of Medicine | Suwon | Gyeonggi-do | 16499 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29781932 | Derived | Kim JS, Joe HB, Park MC, Ahn H, Lee SY, Chae YJ. Postoperative Analgesic Effect of Ultrasound-Guided Intermediate Cervical Plexus Block on Unipolar Sternocleidomastoid Release With Myectomy in Pediatric Patients With Congenital Muscular Torticollis: A Prospective, Randomized Controlled Trial. Reg Anesth Pain Med. 2018 Aug;43(6):634-640. doi: 10.1097/AAP.0000000000000797. |
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| ID | Term |
|---|---|
| C535425 | Congenital torticollis |
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| ID | Term |
|---|---|
| D005283 | Fentanyl |
| D007052 | Ibuprofen |
| ID | Term |
|---|---|
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D010666 | Phenylpropionates |
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| Fentanyl | Drug | fentanyl 0.5 µg/kg in postanesthetic care unit when more or equal to FLACC scale 4. |
|
| Ibuprofen | Drug | ibuprofen in ward when more or equal to FLACC scale 4. |
|
| D000146 |
| Acids, Carbocyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |