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.
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.
Guardian refusal.
Allergy to local anesthetics.
Surgical procedures exceeding 3 hours.
Infection at the area planned for the block injection.
Parallel
External oblique intercostal plane block
Other interventionPatients will receive ultrasound-guided external oblique intercostal plane block.
Erector spinae plane block
Other interventionPatients will receive ultrasound-guided erector spinae plane block.
Degree of pain
Postoperative pain will be assessed using Faces pain score revised. The Faces Pain Scale revised (FPS-R) is a validated self-report instrument designed to measure pain intensity in pediatric populations. The scale comprises a series of facial expressions, ranging from a smiling face at 0, indicating "no pain," to a crying face at 10, indicating "very much pain". Children are instructed to select the face that most accurately reflects their current pain level. The faces are scored (0, 2, 4, 6, 8, 10), providing a quantifiable measure of pain intensity.
Heart rate
Heart rate will be recorded preoperative basal readings, after induction of anesthesia, during skin incision, and every 15 minutes intraoperative.
Mean arterial blood pressure
Mean arterial blood pressure will be recorded preoperative basal readings, after induction of anesthesia, during skin incision, and every 15 minutes intraoperative.
Peripheral oxygen saturation
Peripheral oxygen saturation will be recorded preoperative basal readings, after induction of anesthesia, during skin incision, and every 15 minutes intraoperative.
Duration of analgesia
Duration of analgesia will be recorded from block completion till first postoperative rescue analgesia requirement.
Click on the lead sponsor to view all of their trials.
