Perioperative Analgesia Using Ultrasound Guided Erector Spinae Block vs Ultrasound Guided Caudal Block for Pain Control in Children Aged 2-7 Years Undergoing Lower Abdominal Surgery

Alexandria University

Status: Completed

Conditions: Caudal Block; Erector Spinae Plane Block; Caudal Block for Postoperative Analgesia; Children; Caudal Anesthesia; Local Analgesia Via Infiltration; Caudal Epidural Anesthesia

Treatments: Procedure: Ultrasound Guided Bilateral single shot Erector Spinae Plane Block; Procedure: Caudal Block Anesthesia

Study type: Interventional

Funder types: Other

Identifiers

NCT07281235

9250511

Details and patient eligibility

About

The goal of this prospective study is to is to evaluate the perioperative pain management of Erector Spinae Block versus Caudal Block using the Face, Legs, Activity, Cry, Conceal ability (FLACC) Pain Scale inn children aged 2 to 7 years old. The main question it aims to answer is:

Which block is more efficient in the perioperative period?

Participants will be evaluated intraoperative and postoperative for hemodynamic changes and their pain will evaluated according to the FLACC score.

Enrollment: 60 patients

Sex: All

Ages: 2 to 7 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age between 2-7 years old.
• ASA I-II.
• Elective surgery under general anaesthesia.
• Lower abdominal surgery.

Exclusion criteria

• Parent/caregiver refusal.
• Allergy to one of the study medications.
• Renal or cardiac disease.
• Infection or redness at the site of injection.
• Clinically significant coagulopathy.
• Spinal anomalies.
• Altered mental status.
• Developmental delay.
• Additional surgery at different surgical sites.
• Block failure.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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60 participants in 2 patient groups

Caudal Block Group

Active Comparator group

Description:

Patients who received ultrasound guided Caudal Block

Treatment:

Procedure: Caudal Block Anesthesia

Erector Spinae Plane Block Group

Active Comparator group

Description:

Patients who received ultrasound guided Erector Spinae Block

Treatment:

Procedure: Ultrasound Guided Bilateral single shot Erector Spinae Plane Block