Trial Outcomes & Findings for Truncal Ultrasound Guided Regional Anesthesia for Implantation and Revision of Automatic Implantable Cardioverter Defibrillators (AICDs) and Pacemakers in Pediatric Patients (NCT NCT04184349)

NCT ID: NCT04184349

Last Updated: 2025-05-04

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

19 participants

Primary outcome timeframe

From 24 hours after procedure to 48 hours after procedure

Results posted on

2025-05-04

Participant Flow

Participant milestones

Participant milestones
Measure
Local Anesthetic (LA Group)
LA group: In the LA group, only the local anesthetic infiltration will be performed by injecting the numbing medicine ropivacaine into the surgical site.
B Group
B Group: In the B Group,pectoral (PECS) and transversus thoracic plane(TTP) blocks will be performed by injecting the numbing medicine ropivacaine near the nerves.
Overall Study
STARTED
10
9
Overall Study
COMPLETED
10
9
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Local Anesthetic (LA Group)
n=10 Participants
LA group: In the LA group, only the local anesthetic infiltration will be performed by injecting the numbing medicine ropivacaine into the surgical site.
B Group
n=9 Participants
B Group: In the B Group,pectoral (PECS) and transversus thoracic plane(TTP) blocks will be performed by injecting the numbing medicine ropivacaine near the nerves.
Total
n=19 Participants
Total of all reporting groups
Age, Continuous
13.10 years
STANDARD_DEVIATION 2.92 • n=10 Participants
8.77 years
STANDARD_DEVIATION 3.96 • n=9 Participants
11.05 years
STANDARD_DEVIATION 4.02 • n=19 Participants
Sex: Female, Male
Female
1 Participants
n=10 Participants
5 Participants
n=9 Participants
6 Participants
n=19 Participants
Sex: Female, Male
Male
9 Participants
n=10 Participants
4 Participants
n=9 Participants
13 Participants
n=19 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
10 participants
n=10 Participants
9 participants
n=9 Participants
19 participants
n=19 Participants

PRIMARY outcome

Timeframe: From 24 hours after procedure to 48 hours after procedure

Outcome measures

Outcome measures
Measure
Local Anesthetic (LA Group)
n=10 Participants
LA group: In the LA group, only the local anesthetic infiltration will be performed by injecting the numbing medicine ropivacaine into the surgical site.
B Group
n=9 Participants
B Group: In the B Group,pectoral (PECS) and transversus thoracic plane(TTP) blocks will be performed by injecting the numbing medicine ropivacaine near the nerves.
Total Narcotic Dose in Milligram Morphine Equivalents (MME) Per Kilogram
0.035 MME per kg
Standard Deviation 0.082
0.008 MME per kg
Standard Deviation 0.026

PRIMARY outcome

Timeframe: up to 24 hours after procedure

Outcome measures

Outcome measures
Measure
Local Anesthetic (LA Group)
n=10 Participants
LA group: In the LA group, only the local anesthetic infiltration will be performed by injecting the numbing medicine ropivacaine into the surgical site.
B Group
n=9 Participants
B Group: In the B Group,pectoral (PECS) and transversus thoracic plane(TTP) blocks will be performed by injecting the numbing medicine ropivacaine near the nerves.
Total Narcotic Dose in Milligram Morphine Equivalents (MME) Per Kilogram
0.021 MME per kg
Standard Deviation 0.044
0.008 MME per kg
Standard Deviation 0.026

SECONDARY outcome

Timeframe: up to 1.5 hours post procedure in post anesthesia care unit (PACU)

Population: Data were not collected for this outcome measure because this assessment was not used in the PACU. The Face, Legs, Activity, Cry, Consolability (FLACC) Pain Assessment Scale was used instead.

VAS pain scale is a range of scores from 0-100. A higher score indicates greater pain intensity.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: up to 24 hours post procedure

Population: Data were not collected from 1 participant in the Local Anesthetic (LA Group) arm because it was not charted by bedside nurse.

VAS pain scale is a range of scores from 0-10. A higher score indicates greater pain intensity.

Outcome measures

Outcome measures
Measure
Local Anesthetic (LA Group)
n=9 Participants
LA group: In the LA group, only the local anesthetic infiltration will be performed by injecting the numbing medicine ropivacaine into the surgical site.
B Group
n=9 Participants
B Group: In the B Group,pectoral (PECS) and transversus thoracic plane(TTP) blocks will be performed by injecting the numbing medicine ropivacaine near the nerves.
Pain as Measured by the Visual Analog Scale (VAS) Pain Score
1.33 score on a scale
Standard Deviation 2.23
3.44 score on a scale
Standard Deviation 3.46

SECONDARY outcome

Timeframe: up to 6 hours post procedure in post anesthesia care unit (PACU)

Population: Data were not collected from 3 participants in the Local Anesthetic (LA Group) arm because it was not charted by bedside nurse. Data were not collected from 1 participant in the B group arm because it was not charted by bedside nurse.

Face, Legs, Activity, Cry, Consolability (FLACC) Pain Assessment measures pain with a total score that ranges from 0 to 10; a higher score indicating greater pain.

Outcome measures

Outcome measures
Measure
Local Anesthetic (LA Group)
n=7 Participants
LA group: In the LA group, only the local anesthetic infiltration will be performed by injecting the numbing medicine ropivacaine into the surgical site.
B Group
n=8 Participants
B Group: In the B Group,pectoral (PECS) and transversus thoracic plane(TTP) blocks will be performed by injecting the numbing medicine ropivacaine near the nerves.
Pain as Measured by the Face, Legs, Activity, Cry, Consolability (FLACC) Pain Assessment Scale
1.28 score on a scale
Standard Deviation 2.36
1.62 score on a scale
Standard Deviation 2.92

SECONDARY outcome

Timeframe: up to 48 hours after procedure

Outcome measures

Outcome measures
Measure
Local Anesthetic (LA Group)
n=10 Participants
LA group: In the LA group, only the local anesthetic infiltration will be performed by injecting the numbing medicine ropivacaine into the surgical site.
B Group
n=9 Participants
B Group: In the B Group,pectoral (PECS) and transversus thoracic plane(TTP) blocks will be performed by injecting the numbing medicine ropivacaine near the nerves.
Number of Patients With the Incidence of Pruritis
0 Participants
0 Participants

SECONDARY outcome

Timeframe: up to 48 hours after procedure

Outcome measures

Outcome measures
Measure
Local Anesthetic (LA Group)
n=10 Participants
LA group: In the LA group, only the local anesthetic infiltration will be performed by injecting the numbing medicine ropivacaine into the surgical site.
B Group
n=9 Participants
B Group: In the B Group,pectoral (PECS) and transversus thoracic plane(TTP) blocks will be performed by injecting the numbing medicine ropivacaine near the nerves.
Number of Patients With the Incidence of Nausea/Vomiting
0 Participants
0 Participants

SECONDARY outcome

Timeframe: up to 48 hours after procedure

Outcome measures

Outcome measures
Measure
Local Anesthetic (LA Group)
n=10 Participants
LA group: In the LA group, only the local anesthetic infiltration will be performed by injecting the numbing medicine ropivacaine into the surgical site.
B Group
n=9 Participants
B Group: In the B Group,pectoral (PECS) and transversus thoracic plane(TTP) blocks will be performed by injecting the numbing medicine ropivacaine near the nerves.
Number of Patients With Respiratory Depression
0 Participants
0 Participants

SECONDARY outcome

Timeframe: up to 48 hours after procedure

Outcome measures

Outcome measures
Measure
Local Anesthetic (LA Group)
n=10 Participants
LA group: In the LA group, only the local anesthetic infiltration will be performed by injecting the numbing medicine ropivacaine into the surgical site.
B Group
n=9 Participants
B Group: In the B Group,pectoral (PECS) and transversus thoracic plane(TTP) blocks will be performed by injecting the numbing medicine ropivacaine near the nerves.
Number of Patients With Local Anesthetic Toxicity
0 Participants
0 Participants

SECONDARY outcome

Timeframe: up to 48 hours after procedure

Outcome measures

Outcome measures
Measure
Local Anesthetic (LA Group)
n=10 Participants
LA group: In the LA group, only the local anesthetic infiltration will be performed by injecting the numbing medicine ropivacaine into the surgical site.
B Group
n=9 Participants
B Group: In the B Group,pectoral (PECS) and transversus thoracic plane(TTP) blocks will be performed by injecting the numbing medicine ropivacaine near the nerves.
Number of Patients With Incidence of Pneumothorax
0 Participants
0 Participants

Adverse Events

Local Anesthetic (LA Group)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

B Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Olga Pewelek, MD

The University of Texas Health Science Center at Houston

Phone: 713-500-6227

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place