Ultrasound Guided Erector Spinae Plane Block versus Caudal Block for Pain Relief in Pediatric Patients Undergoing Major Hip Surgeries in Suez Canal University Hospital

Erector Spinae Plane Block versus Caudal Block for Pain Relief in Pediatric Patients

Status

Recruiting

Phases

Phase 3

Study type

Interventional

Source

PACTR

Registry ID

PACTR202511631422162

Enrollment

Registered

2025-11-18

Start date

2025-07-26

Completion date

Unknown

Last updated

2026-09-14

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

Conditions

Anaesthesia

Interventions

caudal group

ESPB group

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: • Age 2-7 years • Both sex • American Society of Anesthesiologists physical status I-II

Exclusion criteria

Exclusion criteria: • History of allergic reactions to local anesthetics. • Rash or infection at the injection site. • Anatomical abnormality of vertebral column. • Bleeding disorders. • Obese children (BMI is equal or greater than 95th% percentile of children of same age and sex).

Design outcomes

Primary

Measure	Time frame
Compare effectiveness of ultrasound guided erector spinae block versus caudal block in reducing postoperative analgesic consumption during the first postoperative 24 hours in pediatric patients undergoing major hip surgeries.	—

Secondary

Measure	Time frame
To Compare the effect of erector spinae block versus caudal block on intraoperative hemodynamics stability, as well as analgesic and anesthetic consumption during maintenance of anesthesia. To compare between ESP block versus caudal block regarding the easiness and duration of accomplishing the technique as well as the rate of success. ;To assess postoperative pain scores using Face, Legs, Activity, Cry and Consolability Score (FLACC) FLACC scale. Time to rescue analgesic and number of patients who required rescue analgesia in the first 24 hours To compare effect of erector spinae block versus caudal block on ERAS pathway (enhanced recovery after surgery) including the time to recovery milestones to fully conscious, length of hospital stay, the incidence of postoperative complications and adverse effects as postoperative nausea and vomiting, urinary retention, ileus, and respiratory depression which can delay discharge and increase postoperative readmission rate. ;To compare effect of erector spinae block versus caudal block on the inflammatory stress response.	—

Measure

Time frame

To Compare the effect of erector spinae block versus caudal block on intraoperative hemodynamics stability, as well as analgesic and anesthetic consumption during maintenance of anesthesia. To compare between ESP block versus caudal block regarding the easiness and duration of accomplishing the technique as well as the rate of success. ;To assess postoperative pain scores using Face, Legs, Activity, Cry and Consolability Score (FLACC) FLACC scale. Time to rescue analgesic and number of patients who required rescue analgesia in the first 24 hours To compare effect of erector spinae block versus caudal block on ERAS pathway (enhanced recovery after surgery) including the time to recovery milestones to fully conscious, length of hospital stay, the incidence of postoperative complications and adverse effects as postoperative nausea and vomiting, urinary retention, ileus, and respiratory depression which can delay discharge and increase postoperative readmission rate. ;To compare effect of erector spinae block versus caudal block on the inflammatory stress response.

—

Countries

Egypt

Contacts

Public ContactSalah Senna

Professor of Anesthesia and Intensive Care Faculty of Medicine Suez Canal University

salahsenna@hotmail.com00201001573722

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Sep 19, 2026