Assessment of Efficacy of Sacral Erector Spinae Plane Block for Postoperative Analgesia in Pediatric Rectal Biopsies

Istanbul University

Status: Completed

Conditions: Pain, Acute; Analgesia

Treatments: Procedure: Sacral Erector Spinae Plane Block

Study type: Interventional

Funder types: Other

Identifiers

NCT06362811

483730

Details and patient eligibility

About

The purpose of this study is to evaluate how sacral erector spinae block changed the postoperative analgesia requirements in pediatric patients undergoing rectal biopsies under general anesthesia.

Full description

Rectal biopsies in pediatric patients are performed under general anesthesia to obtain adequate tissue samples and optimize for patient comfort, well-being and safety. Post-operative pain can persist for longer than a day and requires analgesics. This study aimed to evaluate the effectiveness of sacral erector spinae block in decreasing post-operative pain scores and analgesic requirements.

Enrollment: 48 patients

Sex: All

Ages: 1 day to 5 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients undergoing only rectal biopsy
• ASA class I-II

Exclusion criteria

• ASA class III or more
• Coagulation disorders
• Sacral or spinal anatomical abnormalities
• Infection around the block site
• Local anesthesia allergy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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48 participants in 2 patient groups

General anesthesia

No Intervention group

Description:

Patients will go under general anesthesia and receive only 1mcg/kg fentanyl and 10mg/kg paracetamol as analgesia intraoperatively

General anesthesia + Sacral ESP block

Active Comparator group

Description:

Patients will go under general anesthesia, receive only 1mcg/kg fentanyl and 10mg/kg paracetamol intraoperatively, and bilateral sacral ESP block

Treatment:

Procedure: Sacral Erector Spinae Plane Block