[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100654721":3},{"organization":4,"outcomesModule":7,"designInfo":23,"detailedDescription":22,"studyPopulation":22,"armGroups":32,"interventions":44,"overallOfficials":22,"centralContacts":52,"locations":62,"responsibleParty":76,"collaborators":22,"id":80,"slug":81,"hasResults":82,"nctId":83,"briefTitle":84,"officialTitle":85,"acronym":22,"eligibilityCriteria":86,"healthyVolunteers":82,"sex":87,"minAge":88,"maxAge":89,"enrollmentInfo":90,"targetDuration":22,"studyType":93,"phases":94,"briefSummary":96,"conditions":97,"keywords":100,"overallStatus":105,"whyStopped":22,"lastUpdateSubmitDate":106,"lastUpdatePostDateStruct":107,"startDateStruct":110,"completionDateStruct":112,"leadSponsor":114,"locationsCount":115},{"fullName":5,"class":6},"Diskapi Yildirim Beyazit Education and Research Hospital","OTHER_GOV",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":22},[9],{"measure":10,"description":11,"timeFrame":12},"Postoperative pain intensity assessed using the revised Face, Legs, Activity, Cry, Consolability (r-FLACC) scale","Postoperative pain intensity will be assessed using the revised Face, Legs, Activity, Cry, Consolability (r-FLACC) observational pain scale. The r-FLACC score ranges from 0 to 10, with higher scores indicating greater pain intensity. r-FLACC scores will be recorded at 1, 2, 6, 12, and 24 hours after surgery and compared between the two study groups.","At 1, 2, 6, 12, and 24 hours after surgery",[14,18],{"measure":15,"description":16,"timeFrame":17},"Total rescue analgesic consumption during the first 24 postoperative hours","The cumulative dose and number of doses of each rescue analgesic administered during the first 24 hours after surgery will be recorded separately. When the r-FLACC score is ≥4, intravenous morphine 25 µg\u002Fkg will be administered in the post-anesthesia care unit, whereas oral ibuprofen 10 mg\u002Fkg will be administered in the inpatient ward.","During the first 24 hours after surgery",{"measure":19,"description":20,"timeFrame":21},"Intraoperative remifentanyl consumption","The cumulative dose of remifentanyl administered during the intraoperative period.","During the surgery",null,{"allocation":24,"interventionModel":25,"interventionModelDescription":22,"primaryPurpose":26,"observationalModel":22,"timePerspective":22,"maskingInfo":27},"RANDOMIZED","PARALLEL","TREATMENT",{"masking":28,"maskingDescription":22,"whoMasked":29},"DOUBLE",[30,31],"PARTICIPANT","OUTCOMES_ASSESSOR",[33,39],{"label":34,"type":35,"description":36,"interventionNames":37},"Adductor Canal Block + Popliteal Sciatic Nerve Block Group","ACTIVE_COMPARATOR","Participants assigned to this group will undergo general anesthesia followed by ultrasound-guided combined popliteal sciatic nerve block and adductor canal block. Both blocks will be performed after induction of general anesthesia using 0.25% bupivacaine, with a total local anesthetic volume of 0.5 mL\u002Fkg (maximum volume 20 mL). Before the end of surgery, all participants will receive intravenous acetaminophen (paracetamol) at a dose of 15 mg\u002Fkg. Postoperative pain will be assessed using the revised Face, Legs, Activity, Cry, and Consolability (r- FLACC) scale at 1, 2, 6, 12, and 24 hours after surgery. If the r- FLACC score is greater than 3, intravenous morphine 25 µg\u002Fkg will be administered in the post-anesthesia care unit, or oral ibuprofen 10 mg\u002Fkg will be administered in the inpatient ward.",[38],"Procedure: Adductor Canal Block + Popliteal Sciatic Nerve Block Group",{"label":40,"type":35,"description":41,"interventionNames":42},"Control Group","Participants assigned to this group will undergo general anesthesia without peripheral nerve block. Intravenous paracetamol at a dose of 15 mg\u002Fkg will be administered intraoperatively as part of the standard analgesic protocol. If the postoperative r- FLACC score is greater than 3, intravenous morphine 25 µg\u002Fkg will be administered in the post-anesthesia care unit, or oral ibuprofen 10 mg\u002Fkg will be administered in the inpatient ward.",[43],"Procedure: Control Group",[45,49],{"type":46,"name":34,"description":47,"armGroupLabels":48,"otherNames":22},"PROCEDURE","Following induction of general anesthesia, participants assigned to the intervention group will receive ultrasound-guided popliteal sciatic nerve block and adductor canal block. Both blocks will be performed using 0.25% bupivacaine, with a total local anesthetic volume of 0.5 mL\u002Fkg for the combined blocks (maximum volume 20 ml).",[34],{"type":46,"name":40,"description":50,"armGroupLabels":51,"otherNames":22},"Participants assigned to the control group will receive intravenous paracetamol at a dose of 15 mg\u002Fkg intraoperatively as part of the standard analgesic protocol. No peripheral nerve block will be performed in this group.",[40],[53,58],{"name":54,"role":55,"phone":56,"phoneExt":22,"email":57},"Elif Şule Özdemir Sezgi","CONTACT","00905059209638","elifsule-91@hotmail.com",{"name":59,"role":55,"phone":60,"phoneExt":22,"email":61},"Aslı Dönmez","00905322256473","aslidonmez@hotmail.com",[63],{"facility":64,"status":22,"city":65,"state":22,"zip":22,"country":66,"countryCode":22,"cosmosGeoPoint":67,"geoPoint":72,"contacts":73},"Ankara Etlik City Hospital","Ankara","Turkey (Türkiye)",{"type":68,"coordinates":69},"Point",[70,71],32.85427,39.91987,{"lat":71,"lon":70},[74,75],{"name":54,"role":55,"phone":56,"phoneExt":22,"email":57},{"name":59,"role":55,"phone":60,"phoneExt":22,"email":61},{"type":77,"investigatorFullName":78,"investigatorTitle":79,"investigatorAffiliation":64,"oldNameTitle":22,"oldOrganization":22},"PRINCIPAL_INVESTIGATOR","Elif Sule Ozdemir","Principal Investigator","100654721","combined-popliteal-and-adductor-canal-blocks-for-postoperative-analgesia-in-children-with-cerebral-palsy-100654721",false,"NCT07801365","Combined Popliteal and Adductor Canal Blocks for Postoperative Analgesia in Children With Cerebral Palsy","Postoperative Analgesic Efficacy of Combined Popliteal and Adductor Canal Blocks in Children With Cerebral Palsy Undergoing Lower Extremity Surgery: A Randomized Controlled Trial","Inclusion Criteria:\n\n* Pediatric patients aged 3-18 years\n* Diagnosis of cerebral palsy\n* Scheduled to undergo lower extremity surgery\n* American Society of Anesthesiologists (ASA) physical status II-III\n* Scheduled for elective surgery\n* Written informed consent obtained from a parent or legal guardian\n\nExclusion Criteria:\n\n* Age younger than 3 years or older than 18 years\n* Coagulopathy or any contraindication to peripheral nerve block\n* Known allergy to local anesthetics\n* Infection at the planned block site","ALL","3 Years","18 Years",{"count":91,"type":92},50,"ESTIMATED","INTERVENTIONAL",[95],"NA","This prospective, randomized, controlled trial aims to evaluate the postoperative analgesic efficacy of combined ultrasound-guided popliteal sciatic nerve block and adductor canal block in children with cerebral palsy undergoing elective lower extremity surgery. Children aged 3-18 years with American Society of Anesthesiologists (ASA) physical status II-III will be randomized into two groups. Participants in the intervention group will receive combined popliteal sciatic nerve block and adductor canal block in addition to general anesthesia, whereas participants in the control group will receive general anesthesia with intravenous analgesia without peripheral nerve block. Postoperative pain will be assessed using the revised Face, Legs, Activity, Cry, Consolability (r-FLACC) scale at 1, 2, 6, 12, and 24 hours after surgery by an anesthesiologist blinded to group allocation.",[98,99],"Cerebral Palsy","Postoperative Pain",[101,102,103,104],"Regional Anesthesia","Peripheral Nerve Block","Popliteal Sciatic Nerve Block","Adductor Canal Block","NOT_YET_RECRUITING","2026-08-30",{"date":108,"type":109},"2026-09-03","ACTUAL",{"date":111,"type":92},"2026-09-14",{"date":113,"type":92},"2027-09-27",{"name":5,"class":6},1]