Erector Spinae Plane Block in Pediatric Hip Surgery

Alexandria University

Status

Unknown

Conditions

Analgesia

Treatments

Procedure: caudal block

Procedure: Erector spinae plane block

Study type

Interventional

Funder types

Other

Identifiers

NCT04354571

1234

Details and patient eligibility

About

Hip Surgery in pediatric patients is considered an extremely painful procedure. Managing pain in this surgery is challenging even with several available options, each with limitations. Erector spinae plane (ESP) block is a novel technique that has been used in different types of surgery, with promising results. Many case reports for use of ESPB are available in the literature but to our knowledge, no cohort studies or randomized controlled trials have been performed on ESPB for hip surgery in pediatrics age group against a traditional method as caudal block.1,2 AIM OF WORK

. The Primary outcome of this study is to compare the efficacy of analgesia resulting from the Erector spinae plane block versus the caudal block in pediatric patients undergoing hip surgery using the FLACC score and the duration of the analgesia of both methods till the first rescue analgesic.

The Secondary outcome is to compare the analgesic rescue frequency and total dose given in both groups as well as comparing the complications that might occur from each analgesic technique.

Enrollment

80 estimated patients

Sex

All

Ages

2 to 7 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

ASA I II scheduled for hip surgery.

Exclusion criteria

• Parent refusal
- Coagulopathy
- Patient with congenital heart disease
- Infection at the site of puncture
- Significant spinal anatomical anomaly
- Patient with neuromuscular disorder
- Any known allergy to the drug used