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Erector Spinae Plane Block versus Caudal Epidural Block for children undergoing lower abdominal surgery

Comparison of Erector Spinae Plane block versus Caudal Epidural block in pediatric patients undergoing lower abdominal surgery under general anesthesia- a randomised study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2021/04/032717
Enrollment
52
Registered
2021-04-09
Start date
Unknown
Completion date
Unknown
Last updated
2023-04-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: O- Medical and Surgical

Interventions

Intervention1: Erector Spinae Plane Block (Ultrasound guided): Bupivacaine 0.25% 0.5-0.8 ml/kg Control Intervention1: Caudal Epidural Block (Ultrasound guided): Bupivacaine 0.25% 1 ml/kg

Sponsors

Dr Zainab Ahmad
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: The study will include all paediatric patients of age 1 year - 9 years, of either sex, ASA(American Society of Anesthesiologists classification of Physical Status) grade I and II undergoing elective or emergency lower abdominal surgery.

Exclusion criteria

Exclusion criteria: ·Contraindications to regional technique e.g. allergy to local anesthetic drugs, infection around site of block. .Any coagulation disorder, sepsis. ·Patient having anatomical deformities & progressive neurological disorder, ·Patient with cutaneous anomalies (angioma, hair tuft, naevus, dimple at the site of block) ·Inability to identify landmarks. ·Patient on enti-epileptic drugs or any other enzyme inducers. ·Hypersensitivity/contra-indication to any of the study drugs.

Design outcomes

Primary

MeasureTime frame
Duration of post-operative analgesia, defined as time to first request of rescue analgesia ( defined as a FLACC score 4 or verbal request of analgesics from verbal children) at any time from the time of completion of surgery.Timepoint: Patients will be evaluated at 0, 30 minutes, 1 hours, 2 hours, 6 hours, 12 hours and 24 hours after surgery.—

Secondary

MeasureTime frame
1. Intraoperative opioid requirement - number of additional doses of Fentanyl administered intraoperatively. 2. Postoperative pain scale - FLACC score 3. Number of doses and cumulative dose of rescue analgesic in the postoperative 24 hours. 4. Number of patients requiring any rescue analgesic during the first 24 hours after surgery. 5. Side effects if any 6. Parental satisfaction on a numerical scale of 1-10. Timepoint: Patients will be evaluated at 0, 30 minutes, 1 hours, 2 hours, 6 hours, 12 hours and 24 hours after surgery.—

Countries

India

Contacts

Public ContactDr Zainab Ahmad

AIIMS Bhopal

drzainabhaq@gmail.com8860048951

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026