Comparing the two different regional analgesia techniques in children undergoing lower abdominal surgeries

Not yet recruiting

Brief Summary: Pediatricperineal and genitourinary surgeries are extensive and painful requiringadequate analgesia in the perioperative period. Caudal block has remained thestandard and effective method of managing perioperative analgesia, however, ithas few serious risks associated. The newer Erector Spinae Block (ESPB) hasbeen established in adults as well as in pediatrics at various spinal levelsand has proven to have safer profile with no involvement of any adjacent vitalstructures. There is limited literature present comparing the sacral ESPB andcaudal block in pediatric surgeries.

The hypothesis of this study is that sacral ESPBcan provide comparable analgesic effects to caudal block in pediatric patientsundergoing genitourinary and perineal surgeries, as measured by the duration ofpostoperative analgesia, pain scores and the need for rescue analgesics withbetter safety margin.

Recruitment & Eligibility

Inclusion Criteria

Patients with American Anesthesiology Society (ASA) physical status I and II.
Patients posted for elective genitourinary- like uretheroplasty and perineal surgery- like anoplasty, vaginoplasty and posterior sagittal anorectoplasty (PSARP).

Exclusion Criteria

Patients with significant renal, hepatic, bleeding disorder, skeletal muscles disorder or any other neurological deficit e.g. mental retardation.
Patients having known allergy to study drug.
Contraindication to regional block.
Day care surgeries like circumcision, stent removal etc.

Primary Outcome Measures

Name	Time	Method
To compare the duration of analgesia between the two groups in the form of time to first rescue analgesia.	Pain (FLACC) scoring will be done at admission in PACU, then every 30 minutes till 2 hours then at 4, 8 and 24 hours. Time to first rescue analgesia will be noted.

Secondary Outcome Measures

Name	Time	Method
To determine & compare between the two groups, intraoperative hemodynamic changes, postoperative pain scores & incidence of any complication	The vitals including HR, NIBP, SpO2 & end tidal carbon dioxide levels (EtCO2) will be recorded intraoperatively from the induction of anesthesia at every 15 minutes. Pain (FLACC) scoring will be done at admission in PACU, then every 30 minutes till 2 hours then at 4, 8 & 24 hours. Any complication like vomiting, bradycardia, respiratory depression will be noted

Locations (1): Chacha Nehru Bal Chikitsalaya
🇮🇳
East, DELHI, India
Chacha Nehru Bal Chikitsalaya
🇮🇳East, DELHI, India
Dr Charu
Principal investigator
9810544458
drcharu.nov@gmail.com