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CompletedNCT04184349Updated May 4, 2025Results posted

Truncal Ultrasound Guided Regional Anesthesia for Implantation and Revision of Automatic Implantable Cardioverter Defibrillators (AICDs) and Pacemakers in Pediatric Patients

A Phase 4 interventional study of LA group and B Group in Analgesia After Pacemaker and AICDS Implantation Pediatrics, sponsored by The University of Texas Health Science Center, Houston. Completed at 1 site in United States. Open to participants aged 0 Years to 17 Years. Per ClinicalTrials.gov, last updated 2025-05-04.

Sponsored by The University of Texas Health Science Center, Houston · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
19
Allocation
Randomized
Ages
0 Years to 17 Years
Sex
All
01

Study summary

The purpose of this study is to determine the efficacy and safety of truncal blocks for pacemaker and Automatic Implantable Cardioverter Defibrillator implantation in children and to prospectively evaluate whether there is a decrease in amount of narcotic medications need and track complications.

02

Conditions studied

  • Analgesia After Pacemaker
  • AICDS Implantation Pediatrics

Keywords

  • pacemaker
  • AICDS
  • regional anesthesia
03

In context

Lead sponsor

The University of Texas Health Science Center, Houston is the lead sponsor of 880 studies on the registry; 209 are open to participants now.

Of its 170 completed or terminated interventional studies of FDA-regulated products, 140 (82%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
0 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients undergoing implantation or revision of pacemaker or AICD in the pediatric cath lab

Exclusion criteria

Exclusion Criteria:

  • parent or patient refusal
  • use of narcotic medications prior to procedure
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
19 participants (actual)

Study arms

  • Active comparator
    Local Anesthetic (LA Group)

    Drug: LA group

  • Active comparator
    B group

    Drug: B Group

Interventions

  • DrugLA group

    In the LA group, only the local anesthetic infiltration will be performed by injecting the numbing medicine ropivacaine into the surgical site.

  • DrugB 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.

06

What researchers measure

Primary outcomes

  1. Total Narcotic Dose in Milligram Morphine Equivalents (MME) Per Kilogram

    Time frame: From 24 hours after procedure to 48 hours after procedure

  2. Total Narcotic Dose in Milligram Morphine Equivalents (MME) Per Kilogram

    Time frame: up to 24 hours after procedure

Secondary outcomes

  1. Pain as Measured by the Visual Analog Scale (VAS) Pain Score

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

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

  2. Pain as Measured by the Visual Analog Scale (VAS) Pain Score

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

    Time frame: up to 24 hours post procedure

  3. Pain as Measured by the Face, Legs, Activity, Cry, Consolability (FLACC) Pain Assessment Scale

    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.

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

  4. Number of Patients With the Incidence of Pruritis

    Time frame: up to 48 hours after procedure

  5. Number of Patients With the Incidence of Nausea/Vomiting

    Time frame: up to 48 hours after procedure

  6. Number of Patients With Respiratory Depression

    Time frame: up to 48 hours after procedure

  7. Number of Patients With Local Anesthetic Toxicity

    Time frame: up to 48 hours after procedure

  8. Number of Patients With Incidence of Pneumothorax

    Time frame: up to 48 hours after procedure

07

Results

Posted May 4, 2025

Participant flow

Participant flow — Overall Study
MilestoneLocal Anesthetic (LA Group)B Group
Started109
Completed109
Not completed00

Outcome measures

PrimaryTotal Narcotic Dose in Milligram Morphine Equivalents (MME) Per Kilogram
Time frame:
From 24 hours after procedure to 48 hours after procedure
Reported as:
Mean · MME per kg
Total Narcotic Dose in Milligram Morphine Equivalents (MME) Per Kilogram
MME per kgLocal Anesthetic (LA Group)B Group
Total Narcotic Dose in Milligram Morphine Equivalents (MME) Per Kilogram0.035 ± 0.0820.008 ± 0.026
PrimaryTotal Narcotic Dose in Milligram Morphine Equivalents (MME) Per Kilogram
Time frame:
up to 24 hours after procedure
Reported as:
Mean · MME per kg
Total Narcotic Dose in Milligram Morphine Equivalents (MME) Per Kilogram
MME per kgLocal Anesthetic (LA Group)B Group
Total Narcotic Dose in Milligram Morphine Equivalents (MME) Per Kilogram0.021 ± 0.0440.008 ± 0.026
SecondaryPain as Measured by the Visual Analog Scale (VAS) Pain Score

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

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

No measurements were reported for this outcome.

SecondaryPain as Measured by the Visual Analog Scale (VAS) Pain Score

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

Time frame:
up to 24 hours post procedure
Reported as:
Mean · score on a scale
Pain as Measured by the Visual Analog Scale (VAS) Pain Score
score on a scaleLocal Anesthetic (LA Group)B Group
Pain as Measured by the Visual Analog Scale (VAS) Pain Score1.33 ± 2.233.44 ± 3.46
SecondaryPain as Measured by the Face, Legs, Activity, Cry, Consolability (FLACC) Pain Assessment Scale

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.

Time frame:
up to 6 hours post procedure in post anesthesia care unit (PACU)
Reported as:
Mean · score on a scale
Pain as Measured by the Face, Legs, Activity, Cry, Consolability (FLACC) Pain Assessment Scale
score on a scaleLocal Anesthetic (LA Group)B Group
Pain as Measured by the Face, Legs, Activity, Cry, Consolability (FLACC) Pain Assessment Scale1.28 ± 2.361.62 ± 2.92
SecondaryNumber of Patients With the Incidence of Pruritis
Time frame:
up to 48 hours after procedure
Reported as:
Count of participants · Participants
Number of Patients With the Incidence of Pruritis
ParticipantsLocal Anesthetic (LA Group)B Group
Number of Patients With the Incidence of Pruritis00
SecondaryNumber of Patients With the Incidence of Nausea/Vomiting
Time frame:
up to 48 hours after procedure
Reported as:
Count of participants · Participants
Number of Patients With the Incidence of Nausea/Vomiting
ParticipantsLocal Anesthetic (LA Group)B Group
Number of Patients With the Incidence of Nausea/Vomiting00
SecondaryNumber of Patients With Respiratory Depression
Time frame:
up to 48 hours after procedure
Reported as:
Count of participants · Participants
Number of Patients With Respiratory Depression
ParticipantsLocal Anesthetic (LA Group)B Group
Number of Patients With Respiratory Depression00
SecondaryNumber of Patients With Local Anesthetic Toxicity
Time frame:
up to 48 hours after procedure
Reported as:
Count of participants · Participants
Number of Patients With Local Anesthetic Toxicity
ParticipantsLocal Anesthetic (LA Group)B Group
Number of Patients With Local Anesthetic Toxicity00
SecondaryNumber of Patients With Incidence of Pneumothorax
Time frame:
up to 48 hours after procedure
Reported as:
Count of participants · Participants
Number of Patients With Incidence of Pneumothorax
ParticipantsLocal Anesthetic (LA Group)B Group
Number of Patients With Incidence of Pneumothorax00

Adverse events

Collected over Up to 48 hours. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Local Anesthetic (LA Group)0/10 (0%)0/10 (0%)0/10 (0%)
B Group0/9 (0%)0/9 (0%)0/9 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Local Anesthetic (LA Group)B GroupTotal
Mean13.10 ± 2.928.77 ± 3.9611.05 ± 4.02
Sex: Female, Male
Sex: Female, Male(Participants)Local Anesthetic (LA Group)B GroupTotal
Female156
Male9413
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Local Anesthetic (LA Group)B GroupTotal
Count of participants——0
Region of Enrollment
Region of Enrollment(participants)Local Anesthetic (LA Group)B GroupTotal
United States10919
08

Study locations

1 site
  • The University of Texas Health Science Center at Houston
    Houston, Texas 77030, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Dec 19, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 4, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04184349
Lead sponsor
The University of Texas Health Science Center, Houston
Responsible party
Olga Pawelek (Associate Professor, The University of Texas Health Science Center, Houston) — Principal investigator
First posted
Dec 3, 2019
Start date
Oct 1, 2020
Primary completion
Jun 9, 2022
Completion
Jun 9, 2022
Results posted
May 4, 2025
Last update
May 4, 2025

Study contacts

Olga Pewelek, MD
principal investigator · The University of Texas Health Science Center, Houston

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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