Infrared Thermography for Prediction of Successful Erector Spinae Plane Block in Unilateral Inguinal Hernia Surgery in Paediatric Patients: A Prospective Observational Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 69
- 试验地点
- 1
- 主要终点
- Predict successful ESPB
研究概览
简要总结
This study aims to evaluate the accuracy of temperature change (ΔT) measurements using infrared thermography to predict a successful erector spinae plane block in pediatric patients undergoing inguinal hernia repair under general anesthesia.
详细描述
Lower abdominal surgeries, including inguinal hernia repair, have been performed extensively in the daily practice of pediatric surgeries, so ensuring sufficient intra- and post-operative analgesia is crucial for perioperative care.
The ultrasound-guided erector spinae plane block (ESPB) is a regional anesthetic technique. Early detection of successful ESPB in pediatric patients will enable the application of rescue techniques at the appropriate time, thereby improving patient satisfaction and reducing operating theatre time.
There is considerable evidence regarding the value of infrared thermography in predicting successful nerve blocks. Infrared thermography is the process of using a thermal image to detect radiation (heat) coming from an object, converting it to temperature, and displaying an image of the temperature distribution.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 3 Months 至 6 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age from 3 months to 6 years.
- •Both genders.
- •American Society of Anesthesiologists (ASA) Physical Status I-II.
- •Children undergoing elective unilateral open inguinal hernia surgery.
排除标准
- •Parents' or guardians' refusal
- •Known Allergy to local anesthetics.
- •Coagulopathy [international normalised ratio (INR) >1.4 or platelets <75.000].
- •Infection at the site of injection or wound close to the puncture site.
- •preexisting neuropathy (with sensory and/or motor deficits).
- •Diseases interfere with thermal imaging (as skin infections).
- •Baseline oesophageal body temperature of more than 37.5 °C.
- •Emergency and re-do cases will be excluded.
结局指标
主要结局
Predict successful ESPB
时间窗: Throughout 20 minutes of block
The ability to predict a successful erector spinae plane block by infrared thermography through the change in temperature (ΔT) (degrees Celsius) between the blocked and unblocked sides of the same dermatomal level in the mid-clavicular line throughout 20 minutes of block.
次要结局
- Degree of pain(12 hours after surgery)
- Heart rate(Till discharge of the patient (Up to 12 hours))
- Systolic blood pressure(Till discharge of the patient (Up to 12 hours))
- Mean arterial blood pressure(Till discharge of the patient (Up to 12 hours))
- Number of doses of rescue analgesia(12 hours after surgery)
- Incidence of adverse events(12 hours after surgery)
研究者
Marwa Abdelfatah Abdelrahman Abdelfatah
Assistant Lecturer of Anesthesia, Pain Management and surgical ICU, Faculty of Medicine, Cairo University, Cairo, Egypt.
Cairo University