Erector Spinae Plane Block in Pediatric Hip Surgery

Not Applicable

• Conditions: Analgesia
• Interventions: Procedure: caudal block; Procedure: Erector spinae plane block

• Registration Number: NCT04354571
• Lead Sponsor: Alexandria University

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2019-08-11
• Status Verified: 2020-04
• Study First Submitted: 2020-04-12
• Study First Submitted QC: 2020-04-17
• Last Update Submitted: 2020-04-17
• Study First Posted: 2020-04-21
• Last Update Posted: 2020-04-21
• Primary Completion: 2020-08
• Study Completion: 2020-09

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 80

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
GROUP (caudal block):	caudal block	were given general anesthesia plus caudal block
GROUP (Erector spinae block):	Erector spinae plane block	were given general anesthesia plus Erector spinae plane block

Primary Outcome Measures

Name	Time	Method
Pain assessment	1 day .	Pain was assessed using face, legs, activity, and cry consolability scale \[FLACC\] 1-10 1 is no pain and 10 is the worst pain.

Secondary Outcome Measures

Name	Time	Method
complications	through study completion, an average of 1 day	not any complication related to the block

Trial Locations

Locations (1)

Alexandria university; 🇪🇬 Alexandria, Egypt