Conventional Caudal Block, Ultrasound Guided Caudal Block and Ultrasound Guided Erector Spinae Block for Pediatric Hip Surgery

Tanta University

Status: Unknown

Conditions: Pediatric Hip Surgery; Ultrasound Guided Caudal Block; Ultrasound Guided Erector Spinae Block; Conventional Caudal Block

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

Study type: Interventional

Funder types: Other

Identifiers

NCT04712370

33143/05/19

Details and patient eligibility

About

This study will be conducted to compare the efficacy and safety of ultrasound guided erector spinae block , ultrasound guided caudal block and conventional caudal block for pain management after pediatric hip surgery.

Enrollment: 105 estimated patients

Sex: All

Ages: 4 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Both sex
• ASA physical activity I, II
• Age 4-12 years
• Admitted for elective hip surgery.

Exclusion criteria

• Parents refusal
• Children with severe systemic disease
• ASA III or IV
• Children with previous neurological or spinal anomaly, coagulation disorders
• History of premature birth
• Infection at the block injection site
• History of allergy to local anesthetics
• Bilateral hip surgery.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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105 participants in 3 patient groups

Conventional caudal block

Active Comparator group

Description:

Patients of this group will receive the conventional method (blind technique without ultrasound) of caudal block

Treatment:

Procedure: Conventional caudal block

Ultrasound-guided caudal block

Experimental group

Description:

Patients of this group will receive caudal block using ultrasound.

Treatment:

Procedure: Ultrasound-guided caudal block

Ultrasound guided erector spinae plane Block

Experimental group

Description:

Patients of this group will receive ultrasound guided erector spinae plane Block at the level of the transverse process of the second lumbar vertebrae(L2) .

Treatment:

Procedure: Ultrasound guided erector spinae plane Block