Ultrasound guided Sacral erectorspinae plane block versus caudal epidural block for lower abdominal and lower limb surgery in children for analgesic efficacy

Not yet recruiting

• Conditions: Medical and Surgical,

• Registration Number: CTRI/2021/08/036068
• Lead Sponsor: AIIMS Rishikesh

Brief Summary

The Lower limb and lower abdominal surgeries are done usually under GA in

pediatric age group. Caudal analgesia is often supplemented for these

surgeries for perioperative pain control. Caudal analgesia though provides

excellent pain relief, has limitations of urinary retention, limited duration of

analgesia.



Erector spinae plane block is recently described for various surgeries (eg:

cervical, thoracic, lumbar and sacral erector spinae plane block) according to

desired dermatomes level required.

Sacral erector spinae plane block is recently described regional anesthesia

technique where local anaesthetic (LA) agent is deposited above the sacral

bone and below the erector spinae muscle.



We hypothesize that, sacral erector spinae plane block provides equivalent

analgesia as compared to caudal epidural block with a longer duration of

analgesia than caudal block as the drug reaches caudal epidural space slowly

through posterior sacral foramina.



Present study is planned to know the duration of analgesia provided by sacral

erector spinae plane block in comparison with caudal epidural analgesia in

children undergoing lower limb and lower abdominal surgeries under GA.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-01-09
• Last Update Posted: 2021-08-28

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

•Age 1-9 years •Both genders •ASA Physical status I-III.

Exclusion Criteria

• •Parent refusal •Infection at the site of insertion of block.
• •Allergic to LA.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Duration of analgesia provided by each block technique	assessed using FLACC Score after 0 1 6 12 18 hours post operatively

Secondary Outcome Measures

Name	Time	Method
1)Total rescue analgesia required in 24 hrs.	2)Complications related to sacral erector spinae block.

Trial Locations

Locations (1)

AIIMS Rishikesh; 🇮🇳 Dehradun, UTTARANCHAL, India

AIIMS Rishikesh

🇮🇳Dehradun, UTTARANCHAL, India

Dr Praveen Talawar

Principal investigator

9654162941

praveenrt64@gmail.com