Infrared Thermography for Prediction of Successful Erector Spinae Plane Block in Unilateral Inguinal Hernia Surgery in Paediatric Patients

Cairo University (CU)

Status: Enrolling

Conditions: Infrared; Erector Spinae Plane Block; Thermography; Unilateral Inguinal Hernia Surgery; Paediatric; Prediction

Treatments: Device: Infrared Thermography

Study type: Observational

Funder types: Other

Identifiers

NCT07161375

MD-210-2024

Details and patient eligibility

About

This study aims to evaluate the accuracy of temperature change (ΔT) measurements using infrared thermography to predict a successful erector spinae plane block in pediatric patients undergoing inguinal hernia repair under general anesthesia.

Full description

Lower abdominal surgeries, including inguinal hernia repair, have been performed extensively in the daily practice of pediatric surgeries, so ensuring sufficient intra- and post-operative analgesia is crucial for perioperative care.

The ultrasound-guided erector spinae plane block (ESPB) is a regional anesthetic technique. Early detection of successful ESPB in pediatric patients will enable the application of rescue techniques at the appropriate time, thereby improving patient satisfaction and reducing operating theatre time.

There is considerable evidence regarding the value of infrared thermography in predicting successful nerve blocks. Infrared thermography is the process of using a thermal image to detect radiation (heat) coming from an object, converting it to temperature, and displaying an image of the temperature distribution.

Enrollment: 69 estimated patients

Sex: All

Ages: 3 months to 6 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age from 3 months to 6 years.
• Both genders.
• American Society of Anesthesiologists (ASA) Physical Status I-II.
• Children undergoing elective unilateral open inguinal hernia surgery.

Exclusion criteria

• Parents' or guardians' refusal
• Known Allergy to local anesthetics.
• Coagulopathy [international normalised ratio (INR) >1.4 or platelets <75.000].
• Infection at the site of injection or wound close to the puncture site.
• preexisting neuropathy (with sensory and/or motor deficits).
• Diseases interfere with thermal imaging (as skin infections).
• Baseline oesophageal body temperature of more than 37.5 °C.
• Emergency and re-do cases will be excluded.

Trial design

69 participants in 1 patient group

Study group

Description:

Children undergoing elective unilateral open inguinal hernia surgery.

Treatment:

Device: Infrared Thermography