Comparison of the Efficacy of Sacral Espb and Caudal Block for Pain Management After Urogenital Surgeries in Children (SESPB)

Giresun University

Status: Completed

Conditions: Nerve Block; Pain, Postoperative; Urogenital Diseases

Treatments: Procedure: Ultrasound-guided caudal block; Procedure: Ultrasound-guided sacral erector spinae plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT06373185

2023/21

Details and patient eligibility

About

The aim of this study was to compare the efficacy of caudal block and sacral espb used as a postoperative analgesia method in urogenital pediatric surgery cases.

Full description

The parents of the patients who will undergo urogenital surgery will be included in the study after being informed and written consent is obtained. They will be randomised and divided into two groups. After general anaesthesia, sacral espb will be performed in the 1st group and caudal block will be performed in the 2nd group and postoperative pain will be evaluated with Face, Leg, Activity, Cry, Consolability (FLACC) score.

Enrollment: 60 patients

Sex: All

Ages: 1 to 7 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients aged 1-7 years undergoing paediatric urogenital surgery
• Patients in American Society of Anesthesiologist (ASA) class I-II

Exclusion criteria

• Patients whose parents do not give consent
• Patients with anatomical changes in the sacral region, previous surgery, scar and infection,
• Patients with known local anaesthetic allergy
• Patients for whom regional anaesthesia is contraindicated
• Known neurological or muscular disease

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

SESPB

Experimental group

Description:

Participants received ultrasound-guided SESPB before the surgery

Treatment:

Procedure: Ultrasound-guided sacral erector spinae plane block

CAUDAL

Active Comparator group

Description:

Participants received ultrasound-guided caudal block before the surgery

Treatment:

Procedure: Ultrasound-guided caudal block