Erector Spinae Plane Block for Children Undergoing Thoracoscopic Sympathectomy
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Erector spinae plane block, General anesthesia.
- Who it may be relevant to
- Registry conditions: Erector Spinae Plane Block, Children, Thoracoscopic Sympathectomy. Basic parameters: 6 years — 16 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Erector Spinae Plane Block for Children Undergoing Thoracoscopic Sympathectomy: A Prospective Controlled Trial
Overview
This study aims to evaluate the influence of ultrasound-guided erector spinae plane block on postoperative pain and diaphragmatic dysfunction in pediatric patients undergoing thoracoscopic sympathectomy.
Detailed description
Pain may occur after pediatric thoracic surgery in cases such as skin incision creation, rib traction, and drain placement, and in other cases, such as rib nerve injury. Such pain is highly unfavorable to pediatric patients' recovery as it may lead to reduced cough strength for clearing secretions, decreased functional residual capacity, and pulmonary complications such as atelectasis and pneumonia.
Erector spinae plane block (ESPB) is a novel trunk block to relieve chronic neuropathic pain. Since then, it has gained prominence as a regional anesthesia technique with the potential to revolutionize postoperative pain management, and it has been effectively administered not only for the management of perioperative pain for a wide variety of surgeries but also for the management of acute post-traumatic pain and chronic pain.
Interventions
- Other Erector spinae plane block
Patients will receive bilateral erector spinae plane block after the induction of general anesthesia as a study group. - Other General anesthesia
Patients will not receive the block after the induction of general anesthesia as a control group.
Primary outcome measures
- Degree of pain [Time frame: 24 hours postoperatively]
Secondary outcome measures (6)
- Total analgesic consumption [Time frame: 24 hours postoperatively]
- Anesthetic consumption: minimum alveolar concentration [Time frame: Intraoperatively]
- Diaphragmatic excursion [Time frame: 24 hours postoperatively]
- Time to the first request for the rescue analgesia [Time frame: 24 hours postoperatively]
- Incidence of complications [Time frame: 24 hours postoperatively]
- Recovery profile [Time frame: 24 hours postoperatively]
Eligibility criteria
Inclusion criteria
- Age from 6 to 16 years.
- Either sexes (male or female).
- American Society of Anesthesiologists (ASA) physical status I-II.
- Scheduled for bilateral thoracoscopic sympathectomy under general anesthesia.
Exclusion criteria
- History of allergy to local anesthetics.
- Abnormal liver/kidney function.
- Severe spinal deformities.
- Bleeding or coagulation disorders.
- Skin damage or infection at the proposed puncture site.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Menoufia University — Shibīn al Kawm
Identifiers
NCT: NCT06984874 · 1/2025