External Oblique Intercostal Plane Block Versus Erector Spinae Plane Block in Paediatric Upper Abdominal Surgeries
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: External oblique intercostal plane block, Erector spinae plane block.
- Who it may be relevant to
- Registry conditions: External Oblique Intercostal Plane Block, Erector Spinae Plane Block, Pediatric, Upper Abdominal Surgeries. Basic parameters: 6 years — 12 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
Ultrasound Guided External Oblique Intercostal Plane Block Versus Erector Spinae Plane Block in Paediatric Upper Abdominal Surgeries
Overview
This study aims to compare between ultrasound guided external oblique intercostal plane block and ultrasound guided erector spinae plane block in paediatric upper abdominal surgeries.
Detailed description
Paediatric nerve blocks are increasingly recognized as new standard for managing pain in children. The advantages of regional anesthesia in this population include enhanced operating conditions, expedited recovery of bowel function, and reduced postoperative pain.
The caudal epidural block remains the most used method; however, the external oblique intercostal block, a novel technique involves administering local anesthesia deep to the external oblique muscle at the sixth intercostal space, thereby blocking thoracoabdominal nerves from T6 to T10. This technique offers several advantages, including straightforward anatomy, a single muscle strip that is easily identifiable even in obese patients, a bony backstop, and an easily expandable fascial plane that can accommodate a catheter.
The erector spinae plane block involves injecting local anesthetic into the fascial plane beneath the erector spinae muscle at the tip of the vertebral transverse process. This allows the local anesthetic to spread in the craniocaudal fascial plane.
Interventions
- Other External oblique intercostal plane block
Patients will receive ultrasound-guided external oblique intercostal plane block. - Other Erector spinae plane block
Patients will receive ultrasound-guided erector spinae plane block.
Primary outcome measures
- Degree of pain [Time frame: 12 hours after surgery]
Secondary outcome measures (6)
- Heart rate [Time frame: Every 15 minutes intraoperative]
- Mean arterial blood pressure [Time frame: Every 15 minutes intraoperative]
- Peripheral oxygen saturation [Time frame: Every 15 minutes intraoperative]
- Duration of analgesia [Time frame: 12 hours after surgery]
- Total rescue analgesia requirement [Time frame: 12 hours after surgery]
- Incidence of complications [Time frame: 12 hours after surgery]
Eligibility criteria
Inclusion criteria
- Children aged between 6 and 12 years of both sex.
- Patients with the American Society of Anesthesiologists (ASA) physical status I/II.
- Patients undergoing upper abdominal surgeries involving upper abdominal incisions.
Exclusion criteria
- Guardian refusal.
- Allergy to local anesthetics.
- Surgical procedures exceeding 3 hours.
- Infection at the area planned for the block injection.
- Prolonged opioid medication.
- Patients preoperatively medicated by Beta blockers
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
- Alexandria University — Alexandria
Identifiers
NCT: NCT07617545 · 00012098 (0109306)