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Postoperative pain after cardiothoracic surgery can be a significant problem interfering with recovery, yet difficult to manage due to the sedating effects of opiates. These patients frequently have associated postoperative pulmonary changes and are at risk of respiratory depression with opioid analgesia. The ultrasound-guided transversus thoracic muscle plane block (TTMPB) is a recently described regional anesthetic technique showing improvements in postoperative pain management. Further investigation is needed to establish the potential of the TTMPB as an analgesic modality in congenital cardiothoracic surgery in patients under the age of 18.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | Historical control patients that are matched to the surgery type | ||
| Experimental | After the practice change of TTP was initiated, the future pediatric patients were put into a database. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transverse Thoracic Plane Block | Other | A bilateral plane block in the transverse thoracic space |
|
| Measure | Description | Time Frame |
|---|---|---|
| Extubation | The amount of time until the patients are extubated in the ICU or OR. | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Surgical Stress Response | HR response to incision | 2 years |
| Opiate Usage | Amount of total opiates used for the heart surgery | 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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All comers int he age groups above
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| Name | Affiliation | Role |
|---|---|---|
| DOMINIC S CAROLLO, MD | Ochsner Health System | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ochsner Health System | New Orleans | Louisiana | 70121 | United States |
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| ID | Term |
|---|---|
| D059787 | Acute Pain |
| D006330 | Heart Defects, Congenital |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| D018376 | Cardiovascular Abnormalities |
| D002318 | Cardiovascular Diseases |
| D006331 | Heart Diseases |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |