Comparison of Conventional Caudal Block, Ultrasound Guided Caudal Block and Ultrasound Guided Erector Spinae Block for Pediatric Hip Surgery
试验速览
- 阶段
- 不适用
- 入组人数
- 105
- 试验地点
- 1
- 主要终点
- Degree of pain intensity
研究概览
简要总结
This study will be conducted to compare the efficacy and safety of ultrasound guided erector spinae block , ultrasound guided caudal block and conventional caudal block for pain management after pediatric hip surgery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 4 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •ASA physical activity I, II
- •Age 4-12 years
- •Admitted for elective hip surgery.
排除标准
- •Parents refusal
- •Children with severe systemic disease
- •ASA III or IV
- •Children with previous neurological or spinal anomaly, coagulation disorders
- •History of premature birth
- •Infection at the block injection site
- •History of allergy to local anesthetics
- •Bilateral hip surgery.
研究组 & 干预措施
Conventional caudal block
Patients of this group will receive the conventional method (blind technique without ultrasound) of caudal block
干预措施: Conventional caudal block (Procedure)
Ultrasound-guided caudal block
Patients of this group will receive caudal block using ultrasound.
干预措施: Ultrasound-guided caudal block (Procedure)
Ultrasound guided erector spinae plane Block
Patients of this group will receive ultrasound guided erector spinae plane Block at the level of the transverse process of the second lumbar vertebrae(L2) .
干预措施: Ultrasound guided erector spinae plane Block (Procedure)
结局指标
主要结局
Degree of pain intensity
时间窗: First 24 hours postoperative
To evaluate the pain scores by (FLACC) scale. (FLACC) scale will be assessed after surgery over 24 hours where (0 = Relaxed and comfortable, 1-3 = Mild discomfort, 4-6 = Moderate pain ,7-10 = Severe discomfort /pain)
次要结局
- Changes in mean arterial blood pressure(Intraoperative and first 24 hours postoperative)
- Changes in heart rate(Intraoperative and first 24 hours postoperative)
- Amount of Analgesic required in the first day after surgery(First 24 hours postoperative)
- Duration of performing the block(Intraoperative duration)
- Incidence of complications(Intraoperative and first 24 hours postoperative)
- Time to first rescue analgesic demand after surgery.(First 24 hours postoperative)
- Success rate of block(Intraoperative duration)
研究者
Eman Hamdy Abu-Shanab
Principal Investigator and Assistant lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine
Tanta University