Use of medicine below erector spinae muscle for pain relief in kids

Not yet recruiting

• Conditions: Other intraoperative and postprocedural complications and disorders of genitourinary system,

• Registration Number: CTRI/2023/03/050508
• Lead Sponsor: St Johns Medical College and Hospital

Brief Summary

This is a prospective ,observational,descriptive study which aims to determine the analgesic effects of erector spinae plane block (ESPB)in pediatric patients aged between 2-7yrs posted for abdominal and lower limb surgeries.

The primary objective of the study is to assess the duration of analgesia provided by ESPB (time to first request of rescue analgesic postoperatively) and secondary objectives are to assess frequency of rescue analgesics used and total number of rescue analgesics utilized during the intraoperative and postoperative period.



All children posted for abdominal ,inguinal,hip and femur surgeries fulfilling the inclusion criteria will receive  ESPB after general anesthesia with dose of 0.5ml/kg with a maximum dose of 2mg /kg of 0.25% bupivacaine with dexamethasone 100mcg/kg at the level of lumbar vertebrae appropriate for the case.



Intraoperatively, heart rate (HR) ,mean arterial pressure (MAP) will be monitored every 15 minutes .If the vitals rises more than 20 percent of baseline values then iv rescue analgesics (fentanyl-0.5mcg/kg) will be given.

Postoperatively the duration of analgesia provided by ESPB will be assessed by assessing revised FLACC score  at 10 minutes, 20 minutes, 2 hours, 6 hours, 12 hours, 24 hours.  If FLACC >3 then iv paracetamol will be given(15mg/kg) as rescue analgesic and if FLACC >5 then iv pethidine will be given (0.5mg/kg).

Frequency of rescue analgesics and total doses of rescue analgesics given for a period of 24 hours during the postoperative period will be observed.



Descriptive and inferential statistics will be calculated to provide statistical significance.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-03-15
• Last Update Posted: 2023-09-03

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

ASA 1 and 2 Scheduled for elective abdominal, inguinal, hip and femur surgeries.

Exclusion Criteria

History of allergy to local anesthetics Coagulopathic disorders Cardiac or Renal diseases Infection at site of injection.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Duration of analgesia	postoperatively at 10min, 20min , 2 hour, 6hrs, 12hrs and 24 hrs.

Secondary Outcome Measures

Name	Time	Method
a)To assess frequency of rescue analgesics	b)To assess the total doses of rescue analgesics

Trial Locations

Locations (1)

St Johns Medical College; 🇮🇳 Bangalore, KARNATAKA, India

St Johns Medical College

🇮🇳Bangalore, KARNATAKA, India

Dr Gifty Susan Philip

Principal investigator

919945122036

giftyphilip@gmail.com