Caudal Epidural Anesthesia, FLACC Scale, Orchiopexy, Sacral Erector Spinae Plane Block
Conditions
Keywords
FLACC SCALE, caudal epidural anesthesia, sacral erector spinae plane block, orchiopexy
Brief summary
This study aims to compare the analgesic efficacy of ultrasound-guided erector spinae plane block and caudal block for postoperative pain management in pediatric patients undergoing orchiopexy. Postoperative pain scores, time to first rescue analgesic requirement, total analgesic consumption, and block-related adverse effects will be evaluated during the first 24 hours after surgery. The study will assess whether erector spinae plane block provides effective postoperative analgesia comparable to or superior to caudal block in pediatric orchiopexy.
Interventions
None listed
Sponsors
Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
MALE
Age
1 Years to 7 Years
Healthy volunteers
Yes
Inclusion criteria
* Children aged 1 to 7 years with ASA physical status I-II undergoing unilateral orchiopexy surgery.
Exclusion criteria
* ASA physical status ≥ III * History of prematurity (gestational age \< 37 weeks) Known coagulation disorders or bleeding tendency * Infection, inflammation, or skin lesion at the injection site * Known neurological or neuromuscular diseases * Presence of significant cardiac or pulmonary disease (e.g., congenital heart disease, active asthma) * Hepatic or renal dysfunction * Known allergy or hypersensitivity to local anesthetics (e.g., bupivacaine, lidocaine) * Developmental delay or cognitive impairment that prevents accurate pain assessment * Use of additional regional analgesia techniques (e.g., caudal block) during surgery * Block failure or intraoperative complications requiring exclusion from protocol analysis * Lack of parental consent for participation in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time To First Analgesic Requirement After Surgery | First 24 hours postoperatively | The time elapsed from the end of surgery to the administration of the first rescue analgesic |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| FLACC Pain Scores at Specified Time Intervals | first 24 hours postoperatively | Pain assessment using the Face, Legs, Activity, Cry, Consolability (FLACC) scale (score range: 0-10; higher scores indicate worse pain) at 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, 12 hours and 24 hours postoperatively |
Countries
Turkey (Türkiye)
Contacts
CONTACTKübra DEMİR
PRINCIPAL_INVESTIGATORkübra demir
Prof. Dr Cemil Taşcıoğlu Şehir Hastanesi
Outcome results
None listed