[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"caudal-epidural-anesthesia\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:caudal-epidural-anesthesia":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,49],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":16,"sex":17,"minAge":18,"maxAge":19,"enrollmentInfo":20,"targetDuration":23,"studyType":24,"phases":4,"briefSummary":25,"conditions":26,"keywords":31,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":37,"lastUpdatePostDateStruct":38,"startDateStruct":41,"completionDateStruct":43,"leadSponsor":45,"locationsCount":48},"100651678","comparison-of-erector-spinae-plane-block-and-caudal-block-for-postoperative-analgesia-in-pediatric-patients-undergoing-orchiopexy-a-prospective-observational-study-100651678",false,"NCT07762339","Comparison of Erector Spinae Plane Block and Caudal Block for Postoperative Analgesia in Pediatric Patients Undergoing Orchiopexy: A Prospective Observational Study","Comparison of Erector Spinae Plane Block and Caudal Block for Postoperative Analgesia in Pediatric Patients Undergoing Orchiopexy","Inclusion Criteria:\n\n* Children aged 1 to 7 years with ASA physical status I-II undergoing unilateral orchiopexy surgery.\n\nExclusion Criteria:\n\n* ASA physical status ≥ III\n* History of prematurity (gestational age \\\u003C 37 weeks) Known coagulation disorders or bleeding tendency\n* Infection, inflammation, or skin lesion at the injection site\n* Known neurological or neuromuscular diseases\n* Presence of significant cardiac or pulmonary disease (e.g., congenital heart disease, active asthma)\n* Hepatic or renal dysfunction\n* Known allergy or hypersensitivity to local anesthetics (e.g., bupivacaine, lidocaine)\n* Developmental delay or cognitive impairment that prevents accurate pain assessment\n* Use of additional regional analgesia techniques (e.g., caudal block) during surgery\n* Block failure or intraoperative complications requiring exclusion from protocol analysis\n* Lack of parental consent for participation in the study",true,"MALE","1 Year","7 Years",{"count":21,"type":22},84,"ESTIMATED","1 Day","OBSERVATIONAL","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.",[27,28,29,30],"Caudal Epidural Anesthesia","Sacral Erector Spinae Plane Block","Orchiopexy","FLACC Scale",[32,33,34,35],"FLACC SCALE","caudal epidural anesthesia","sacral erector spinae plane block","orchiopexy","RECRUITING","2026-08-12",{"date":39,"type":40},"2026-08-13","ACTUAL",{"date":42,"type":40},"2026-06-08",{"date":44,"type":22},"2027-01-08",{"name":46,"class":47},"Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization","OTHER",1,{"id":50,"slug":51,"hasResults":11,"nctId":52,"briefTitle":53,"officialTitle":53,"acronym":4,"eligibilityCriteria":54,"healthyVolunteers":16,"sex":55,"minAge":18,"maxAge":56,"enrollmentInfo":57,"targetDuration":4,"studyType":59,"phases":60,"briefSummary":62,"conditions":63,"keywords":66,"overallStatus":71,"whyStopped":4,"lastUpdateSubmitDate":72,"lastUpdatePostDateStruct":73,"startDateStruct":75,"completionDateStruct":77,"leadSponsor":79,"locationsCount":4},"100625769","comparison-of-erector-spinae-plane-block-and-caudal-block-in-pediatric-patients-aged-1-to-8-years-undergoing-lower-abdominal-surgery-100625769","NCT07426939","Comparison of Erector Spinae Plane Block and Caudal Block in Pediatric Patients Aged 1 to 8 Years Undergoing Lower Abdominal Surgery","Inclusion Criteria:\n\nChildren aged 1 to 8 years\n\nScheduled for elective lower abdominal surgery\n\nAmerican Society of Anesthesiologists (ASA) physical status I-II\n\nWritten informed consent obtained from parent(s) or legal guardian(s)\n\nExclusion Criteria:\n\nPresence of anatomical abnormalities\n\nCoagulation disorders\n\nInfection at the site of block application\n\nSevere cardiovascular, neurological, respiratory, or metabolic disease\n\nKnown allergy to study medications\n\nFailed regional block\n\nBilateral surgery or additional surgical procedures involving different surgical sites\n\nRefusal of parent(s) or legal guardian(s) to provide consent","ALL","8 Years",{"count":58,"type":22},78,"INTERVENTIONAL",[61],"NA","In routine pediatric surgical practice, lower abdominal surgeries are commonly performed. Inadequate control of postoperative pain can hinder functional recovery and may lead to negative behavioral changes as well as parental dissatisfaction. Regional anesthesia techniques are widely recommended for pain management in pediatric surgery, as they reduce the need for parenteral opioids and improve the effectiveness of postoperative pain control, patient comfort, and parental satisfaction.\n\nVarious nerve block techniques have been developed to enhance postoperative analgesia and facilitate recovery in pediatric patients. However, there is still no consensus regarding the most effective regional anesthesia strategy for pediatric surgical procedures.\n\nAmong regional anesthesia techniques used for pain management in children undergoing lower abdominal surgery, caudal block remains the most commonly applied method. The introduction of real-time ultrasound guidance has improved the reliability and safety of caudal blocks. Nevertheless, a major limitation of this technique is its relatively short duration of action following a single injection, even when long-acting local anesthetics or adjuvant agents are used. Consequently, several fascial plane blocks, such as the quadratus lumborum block, transversus abdominis plane block, and rectus sheath block, have been proposed as alternative approaches for postoperative analgesia in children.\n\nThe erector spinae plane block is a regional anesthesia technique that has been applied at thoracic, lumbar, cervical, and sacral levels for both acute and chronic pain management. By providing blockade of both somatic and visceral pain pathways, it has demonstrated effective postoperative analgesic properties in a variety of thoracic and abdominal surgical procedures. The technique involves the injection of a local anesthetic into the interfascial plane between the erector spinae muscle and the transverse process, allowing longitudinal spread of the anesthetic across multiple spinal levels.\n\nWith a growing body of evidence supporting its feasibility and effectiveness, the erector spinae plane block has gained increasing attention in pediatric anesthesia practice.\n\nThe aim of this study is to evaluate and compare the analgesic efficacy and safety of ultrasound-guided erector spinae plane block and caudal block in pediatric patients undergoing unilateral lower abdominal surgery under general anesthesia. The primary objective is to compare postoperative pain levels between the two techniques using the FLACC score, which assesses facial expression, leg position, activity, crying, and consolability. Secondary objectives include the evaluation of intraoperative heart rate, blood pressure, and oxygen saturation, block application times, parental satisfaction, and the incidence of postoperative side effects.",[27,64,65],"Erector Spinae Plane Block","Pediatric",[67,68,69,70],"espb","caudal block","pediatric","erector spinae plane block","NOT_YET_RECRUITING","2026-05-06",{"date":74,"type":40},"2026-05-11",{"date":76,"type":22},"2026-04-15",{"date":78,"type":22},"2026-09-01",{"name":80,"class":47},"Ankara City Hospital Bilkent"]