This study aims to compare the analgesic efficacy of ultrasound-guided erector spinae plane block and caudal block for postoperative pain management in pediatric patients undergoing orchiopexy. Postoperative pain scores, time to first rescue analgesic requirement, total analgesic consumption, and block-related adverse effects will be evaluated during the first 24 hours after surgery. The study will assess whether erector spinae plane block provides effective postoperative analgesia comparable to or superior to caudal block in pediatric orchiopexy.
Children aged 1 to 7 years with ASA physical status I-II undergoing unilateral orchiopexy surgery.
ASA physical status ≥ III
History of prematurity (gestational age < 37 weeks) Known coagulation disorders or bleeding tendency
Infection, inflammation, or skin lesion at the injection site
Known neurological or neuromuscular diseases
Children aged 1 to 7 years with ASA physical status I-II undergoing orchiopexy surgery.
Other
Prospective
Not listed
Time To First Analgesic Requirement After Surgery
The time elapsed from the end of surgery to the administration of the first rescue analgesic
FLACC Pain Scores at Specified Time Intervals
Pain assessment using the Face, Legs, Activity, Cry, Consolability (FLACC) scale (score range: 0-10; higher scores indicate worse pain) at 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, 12 hours and 24 hours postoperatively
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