Multifidus Plane Block Versus Caudal Block for Hypospadias

Ain Shams University

Status: Not yet enrolling

Conditions: Caudal Block; Hypospadias

Treatments: Procedure: Multifidus plane block; Procedure: caudal block

Study type: Interventional

Funder types: Other

Identifiers

NCT06561269

MD73/2024

Details and patient eligibility

About

This study aims to evaluate the safety and efficacy of ultrasound-guided sacral multifidus plane block and compare its analgesic effect to ultrasound-guided caudal block in pediatric patients undergoing hypospadias surgery under general anesthesia

Full description

Peri-operative pain management in pediatric surgeries is considered a challenging issue for the anesthesiologists. The usage of regional anesthesia in association with general anesthesia (GA) is a simple intraoperative way that reduces (GA) requirements and side effects. Recently, paraspinal fascial plane block, the sacral multifidus plane block (MPB), was used successfully in infants. The study has been designed to determine the effect of MPB versus caudal epidural block to control peri-operative pain in hypospadias surgeries in children.

Enrollment: 30 estimated patients

Sex: Male

Ages: 1 to 7 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ⦁ Children aged (1 -7) years old.

  • All patients will be of ASA classification I, II physical status

Exclusion criteria

• ⦁ Parents refusing to participate are excluded from the trial.

  • Children who had spinal anomalies, altered mental status.
  • A history of developmental delay.
  • Blood diseases: Coagulopathy or anaemia.
  • Infection at the site of injection.
  • Drug allergy.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

Multifidus plane block (MPB) group

Experimental group

Description:

Participants will be injected bupivacaine at the fascial plane between the multifidus muscle and the median sacral crests of S2 and S3

Treatment:

Procedure: Multifidus plane block

Caudal block (CB) group

Experimental group

Description:

Participants will be injected by bupivacaine, between the two sacral cornua

Treatment:

Procedure: caudal block