Infrared Thermography for Prediction of Successful Erector Spinae Plane Block in Unilateral Inguinal Hernia Surgery in Paediatric Patients
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: Infrared Thermography.
- Who it may be relevant to
- Registry conditions: Infrared, Thermography, Prediction, Erector Spinae Plane Block. Basic parameters: 3 months — 6 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
Infrared Thermography for Prediction of Successful Erector Spinae Plane Block in Unilateral Inguinal Hernia Surgery in Paediatric Patients: A Prospective Observational Study
Overview
This study aims to evaluate the accuracy of temperature change (ΔT) measurements using infrared thermography to predict a successful erector spinae plane block in pediatric patients undergoing inguinal hernia repair under general anesthesia.
Detailed description
Lower abdominal surgeries, including inguinal hernia repair, have been performed extensively in the daily practice of pediatric surgeries, so ensuring sufficient intra- and post-operative analgesia is crucial for perioperative care.
The ultrasound-guided erector spinae plane block (ESPB) is a regional anesthetic technique. Early detection of successful ESPB in pediatric patients will enable the application of rescue techniques at the appropriate time, thereby improving patient satisfaction and reducing operating theatre time.
There is considerable evidence regarding the value of infrared thermography in predicting successful nerve blocks. Infrared thermography is the process of using a thermal image to detect radiation (heat) coming from an object, converting it to temperature, and displaying an image of the temperature distribution.
Interventions
- Device Infrared Thermography
Infrared thermography will be used to predict the success of an erector spinae block by measuring the temperature difference between the blocked and unblocked sides.
Primary outcome measures
- Predict successful ESPB [Time frame: Throughout 20 minutes of block]
Secondary outcome measures (6)
- Degree of pain [Time frame: 12 hours after surgery]
- Heart rate [Time frame: Till discharge of the patient (Up to 12 hours)]
- Systolic blood pressure [Time frame: Till discharge of the patient (Up to 12 hours)]
- Mean arterial blood pressure [Time frame: Till discharge of the patient (Up to 12 hours)]
- Number of doses of rescue analgesia [Time frame: 12 hours after surgery]
- Incidence of adverse events [Time frame: 12 hours after surgery]
Eligibility criteria
Inclusion criteria
- Age from 3 months to 6 years.
- Both genders.
- American Society of Anesthesiologists (ASA) Physical Status I-II.
- Children undergoing elective unilateral open inguinal hernia surgery.
Exclusion criteria
- Parents' or guardians' refusal
- Known Allergy to local anesthetics.
- Coagulopathy \[international normalised ratio (INR) >1.4 or platelets <75.000\].
- Infection at the site of injection or wound close to the puncture site.
- preexisting neuropathy (with sensory and/or motor deficits).
- Diseases interfere with thermal imaging (as skin infections).
- Baseline oesophageal body temperature of more than 37.5 °C.
- Emergency and re-do cases will be excluded.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Egypt · 1 center
- Cairo University — Cairo
Identifiers
NCT: NCT07161375 · MD-210-2024