Comparison of Conventional Caudal Block, Ultrasound Guided Caudal Block and Ultrasound Guided Erector Spinae Block for Pediatric Hip Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Conventional Caudal Block
- Sponsor
- Tanta University
- Enrollment
- 105
- Locations
- 1
- Primary Endpoint
- Degree of pain intensity
- Last Updated
- 5 years ago
Overview
Brief Summary
This study will be conducted to compare the efficacy and safety of ultrasound guided erector spinae block , ultrasound guided caudal block and conventional caudal block for pain management after pediatric hip surgery.
Investigators
Eman Hamdy Abu-Shanab
Principal Investigator and Assistant lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine
Tanta University
Eligibility Criteria
Inclusion Criteria
- •ASA physical activity I, II
- •Age 4-12 years
- •Admitted for elective hip surgery.
Exclusion Criteria
- •Parents refusal
- •Children with severe systemic disease
- •ASA III or IV
- •Children with previous neurological or spinal anomaly, coagulation disorders
- •History of premature birth
- •Infection at the block injection site
- •History of allergy to local anesthetics
- •Bilateral hip surgery.
Outcomes
Primary Outcomes
Degree of pain intensity
Time Frame: First 24 hours postoperative
To evaluate the pain scores by (FLACC) scale. (FLACC) scale will be assessed after surgery over 24 hours where (0 = Relaxed and comfortable, 1-3 = Mild discomfort, 4-6 = Moderate pain ,7-10 = Severe discomfort /pain)
Secondary Outcomes
- Changes in mean arterial blood pressure(Intraoperative and first 24 hours postoperative)
- Changes in heart rate(Intraoperative and first 24 hours postoperative)
- Amount of Analgesic required in the first day after surgery(First 24 hours postoperative)
- Duration of performing the block(Intraoperative duration)
- Incidence of complications(Intraoperative and first 24 hours postoperative)
- Time to first rescue analgesic demand after surgery.(First 24 hours postoperative)
- Success rate of block(Intraoperative duration)