Erector Spinae Plane Block for Children Undergoing Thoracoscopic Sympathectomy

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age6-16
SponsorMenoufia University

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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.

Disqualifiers

History of allergy to local anesthetics.

Abnormal liver/kidney function.

Severe spinal deformities.

Bleeding or coagulation disorders.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Erector spinae plane block

    Other intervention

    Patients will receive bilateral erector spinae plane block after the induction of general anesthesia as a study group.

  • General anesthesia

    Other intervention

    Patients will not receive the block after the induction of general anesthesia as a control group.

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: Erector spinae plane block groupExperimental treatment 1 intervention
Group B: Control groupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Degree of pain

Postoperative pain assessment with the numeric rating scale (NRS) score. NRS (0 represents "no pain" while 10 represents "the worst pain imaginable"). NRS will be assessed on arrival at the post-anesthesia care unit (PACU), 1, 2, 4, 8, 12, and 24 h postoperatively.

Time frame
24 hours postoperatively

Secondary outcomes

1

Total analgesic consumption

Total analgesic consumption will be recorded.

Time frame
24 hours postoperatively
2

Anesthetic consumption: minimum alveolar concentration

Anesthetic consumption: minimum alveolar concentration (MAC) of sevoflurane every 10 min using Anesthetic Consumption = Flow Rate × Concentration of Anesthetic in Vapor.

Time frame
Intraoperatively
3

Diaphragmatic excursion

Diaphragmatic excursion will be recorded using ultrasound preoperatively and postoperatively.

Time frame
24 hours postoperatively
4

Time to the first request for the rescue analgesia

Time to the first request for the rescue analgesia will be recorded from the end of surgery till first dose of meperidine administrated.

Time frame
24 hours postoperatively

Other outcomes

Sponsors and contacts

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