Appendicitis
Conditions
Interventions
Ultrasound-guided Erector Spinae Plane Block Group:After general anesthesia induction and tracheal intubation, bilateral ultrasound-guided erector spinae plane block at the T8 level is performed.
Blank Control Group:They receive standardized intravenous-inhalational combined general anesthesia and a standardized postoperative analgesia protocol, but without nerve block.
Sponsors
Anhui Hospital of Children's Hospital Affiliated to Fudan University, Anhui Children's Hospital
Eligibility
Sex/Gender
All
Age
6 Years to 12 Years
Inclusion criteria
Inclusion criteria: 1. Age: 6 years old <= age <= 12 years old; 2. Body Mass Index (BMI): 19 kg/m² <= BMI <= 28 kg/m²; 3. Meeting the diagnostic criteria for acute appendicitis (supported by clinical manifestations, laboratory examinations, and imaging evidence); 4. American Society of Anesthesiologists (ASA) physical status classification ?-?; 5 Scheduled to undergo emergency laparoscopic appendectomy within 24 hours after diagnosis; 6. Legal guardians signing the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Known history of allergy to local anesthetics; 2. Abnormal coagulation function (platelet count 1.5); 3. Skin/soft tissue infection in the puncture area; 4. Long-term preoperative use (> 3 months) of opioids or acetaminophen-based analgesics; 5. Presence of cognitive impairment or mental illness that prevents cooperation with Visual Analogue Scale (VAS) assessment and Face, Legs, Activity, Cry, Consolability (FLACC) Scale assessment; 6. Legal guardians unable to master the operation method of Patient-Controlled Intravenous Analgesia (PCIA) pump; 7. Legal guardians refusing to sign the informed consent form.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Opioid requirement within 48 hours after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative hemodynamic fluctuation indicators;Intraoperative opioid dosage;Patient baseline data;Postoperative pain scores within 48 hours;Time to first analgesia :().,.(),.;Number of analgesic pump compressions within 48 hours after surgery :48.(Patient-Controlled Analgesia, PCA),,.,,,.;Postoperative recovery indicators;Rate and frequency of rescue analgesia;Satisfaction score; | — |
Countries
China
Contacts
Public ContactMingwen Yang
Anhui Hospital of Children's Hospital Affiliated to Fudan University, Anhui Children's Hospital
Outcome results
None listed