Study of Analgesic Efficacy of Nerve Blocks on Otoplastic Surgery
Microtia, Microtia, Congenital
About this trial
This is an interventional supportive care trial for Microtia focused on measuring intercostal nerve blocks, ultrasound guidance, thoracic paravertebral block, pain management
Eligibility Criteria
Inclusion Criteria:
- Clinical diagnosis of microtia
- Scheduled for rib cartilage harvest from three ribs for auricular reconstruction.
Exclusion Criteria:
- Requirement for additional surgery
- Rib cartilage harvest from more or less than three ribs
- History of analgesic administration (eg, opioids, acetaminophen, or 4.Nonsteroidal anti-inflammatory drugs) 24 hours before premedication
5.History of coagulation disorders or allergy to local anesthetics 6.History of renal insufficiency or an American Society of Anesthesiologists (ASA) physical status that was higher than II 7.Inability to express pain scores or severity of nausea 8.Inability to understand PCIA device use 9.Parental objection to ICNBs or paravertebral block.
Sites / Locations
- The Eye,Ear,Nose and throat Hospital ,Fudan UniversityRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
DV-ICNB group
UG-ICNB group
PV group
intercostal nerve block under direct vision
intercostal nerve block under ultrasound guidance
thoracic paravertebral block under ultrasound guidance