Urogenital Diseases, Nerve Block, Pain, Postoperative
Conditions
Keywords
sacral erector spinae plane block, caudal block, nerve block, anesthesia, general, urogenital surgery
Brief summary
The aim of this study was to compare the efficacy of caudal block and sacral espb used as a postoperative analgesia method in urogenital pediatric surgery cases.
Detailed description
The parents of the patients who will undergo urogenital surgery will be included in the study after being informed and written consent is obtained. They will be randomised and divided into two groups. After general anaesthesia, sacral espb will be performed in the 1st group and caudal block will be performed in the 2nd group and postoperative pain will be evaluated with Face, Leg, Activity, Cry, Consolability (FLACC) score.
Interventions
PROCEDUREUltrasound-guided sacral erector spinae plane block
Patients were received ultrasound-guided sacral erector spinae plane block, 1ml/kg %0.25 bupivacaine (max 20 ml), for postoperative pain management
PROCEDUREUltrasound-guided caudal block
Patients were received ultrasound-guided caudal block, 1ml/kg %0.25 bupivacaine (max 20 ml), for postoperative pain management
Sponsors
Giresun University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Randomisation using a closed envelope method based on computer-generated random numbers was to assign patients to two equal groups. Group 1 received midline US-guided sacral erector spinae plane block and Group 2 received caudal block. The experienced anesthetist who opened the envelope performed the block according to the group code and patients were followed postoperatively by an anesthetist blinded to which block was performed. Patients were also blinded as to which block was performed.
Intervention model description
Randomized controlled double blind study
Eligibility
Sex/Gender
ALL
Age
1 Years to 7 Years
Healthy volunteers
No
Inclusion criteria
* Patients aged 1-7 years undergoing paediatric urogenital surgery * Patients in American Society of Anesthesiologist (ASA) class I-II
Exclusion criteria
* Patients whose parents do not give consent * Patients with anatomical changes in the sacral region, previous surgery, scar and infection, * Patients with known local anaesthetic allergy * Patients for whom regional anaesthesia is contraindicated * Known neurological or muscular disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Face, Leg, Activity, Cry, Consolability (FLACC) score | baseline ,and 24 hours | The FLACC is an observational pain scale. It is widely used in the paediatric population to assess pain in infants and children who are unable to verbally express their pain.Each category is scored on the 0-2 scale which results in a total score of 0-10. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Analgesic requirement | baseline, and 24 hours | If the FLACC\>4 and above rescue analgesics will be made |
| Satisfaction of the patient's parents | 24. hours | A questionnaire will be used in which patient's parents will indicate their satisfaction from 0 to 10. 0: not at all satisfied, 10: very satisfied |
| Satisfaction of the surgeons | 24.hours | A questionnaire will be used in which surgeon's will indicate their satisfaction from 0 to 10. 0: not at all satisfied, 10: very satisfied |
Countries
Turkey (Türkiye)
Outcome results
None listed