NCT03611374

Regional Anesthesia for Cardiothoracic Enhanced Recovery (RACER) Study

Regional Anesthesia for Cardiothoracic Enhanced Recovery (RACER) for Patients Undergoing Sternotomy for Congenital Heart Repair

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 38 (actual)
• Sponsor: Stanford University · Academic / Other
• Sex: All
• Age: 0 Years – 99 Years
• Healthy volunteers: Not accepted

Summary

The erector spinae plane block is a novel regional anesthetic technique that allows for analgesia of the thorax and abdomen with a peripheral nerve block. The goals of this study are to determine if bilateral erector spinae plane blocks (ESPB) after sternotomy for congenital heart repair in high risk children and adults can decrease outcomes such as duration of postoperative mechanical ventilation (MV), perioperative opioid consumption, days in the intensive care unit (ICU) and length of stay (LOS).

Conditions

• Congenital Heart Defect
• Congenital Heart Disease
• Anesthesia, Local
• Opioid Use

Interventions

Type	Name	Description
PROCEDURE	Bilateral Erector Spinae Plane Block (ESPB)	Bilateral ESPBs will be placed after anesthesia induction in eligible and consented patients who are undergoing a sternotomy for congenital heart repair. Patients will receive a local anesthetic agent through each catheter prior to surgery start. If possible, levels of the local anesthetic will be measured during the case. After surgery, patients will be admitted to the CVICU and extubation will be managed by the CVICU team. The ESPB group will have an automatic, alternating side boluses of the local anesthetic started through their nerve block catheters. Levels of the local anesthetic will be measured at intervals.

Timeline

• Start date: 2019-06-07
• Primary completion: 2023-04-06
• Completion: 2023-04-06
• First posted: 2018-08-02
• Last updated: 2023-09-28

Locations

1 site across 1 country: United States