Erector Spinae Plane Block for Children Undergoing Thoracoscopic Sympathectomy

Menoufia University

Status: Enrolling

Conditions: Erector Spinae Plane Block; Children; Thoracoscopic Sympathectomy

Treatments: Other: General anesthesia; Other: Erector spinae plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT06984874

1/2025

Details and patient eligibility

About

This study aims to evaluate the influence of ultrasound-guided erector spinae plane block on postoperative pain and diaphragmatic dysfunction in pediatric patients undergoing thoracoscopic sympathectomy.

Full description

Pain may occur after pediatric thoracic surgery in cases such as skin incision creation, rib traction, and drain placement, and in other cases, such as rib nerve injury. Such pain is highly unfavorable to pediatric patients' recovery as it may lead to reduced cough strength for clearing secretions, decreased functional residual capacity, and pulmonary complications such as atelectasis and pneumonia.

Erector spinae plane block (ESPB) is a novel trunk block to relieve chronic neuropathic pain. Since then, it has gained prominence as a regional anesthesia technique with the potential to revolutionize postoperative pain management, and it has been effectively administered not only for the management of perioperative pain for a wide variety of surgeries but also for the management of acute post-traumatic pain and chronic pain.

Enrollment: 40 estimated patients

Sex: All

Ages: 6 to 16 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age from 6 to 16 years.
• Either sexes (male or female).
• American Society of Anesthesiologists (ASA) physical status I-II.
• Scheduled for bilateral thoracoscopic sympathectomy under general anesthesia.

Exclusion criteria

• History of allergy to local anesthetics.
• Abnormal liver/kidney function.
• Severe spinal deformities.
• Bleeding or coagulation disorders.
• Skin damage or infection at the proposed puncture site.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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40 participants in 2 patient groups

Erector spinae plane block group

Experimental group

Description:

Patients will receive bilateral erector spinae plane block after the induction of general anesthesia as a study group.

Treatment:

Other: Erector spinae plane block

Control group

Active Comparator group

Description:

Patients will not receive the block after the induction of general anesthesia as a control group.

Treatment:

Other: General anesthesia