PENG Block vs. ESP Block for Pediatric Hip Surgery

Poznan University of Medical Sciences90 enrolled

Overview

The study compares the effectiveness and safety of the pericapsular nerve blockade vs. ESPB in pediatric patients who underwent hip surgeries.

The study compares the effectiveness and safety of the pericapsular nerve blockade vs. ESPB in pediatric patients who underwent hip surgeries. In addition, we aim to determine the optimal volume of local anesthetics needed to achieve a satisfactory level of analgesia.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Hip Dysplasia Hip Injuries Hip Fractures Hip Disease

Interventions

Pericapsular nerve group block using 0.2% ropivacaineDRUG

Unilateral ultrasound guided pericapsular nerve block using 0.5mL/kg 0.2% Ropimol (max 20mL)

Erector Spinae Plane Block using 0.2% ropivacaineDRUG

Unilateral ultrasound guided erector spinae block using 0.5mL/kg 0.2% Ropimol (max 20mL)

Standard careOTHER

No erector spinae block and no pericapsular nerve group block

Eligibility

Sex: ALLMin age: 2 MonthsMax age: 12 Years

Medical Language ↔ Plain English

Inclusion Criteria: \- pediatric patients aged between 0-12 years who will undergo hip surgery Exclusion Criteria: * a history of chronic pain use of gabapentin/pregabalin for \> 3 months opioid use \> 1 repeated opioid prescription in the last three months * morbid obesity (BMI \> 99th percentile) * Infection at block application area * coagulopathy

Locations (1)

Department of Spine Diseases and Pediatric Orthopedics, University of Medical Sciences, Poznań, Poland

Poznan, Wielkopolska, Poland

Outcomes

Primary Outcomes

FLACC score

The FLACC scale or Face, Legs, Activity, Cry, Controllability Scale is used to assess pain for children between the ages of 2 months and seven years or individuals unable to communicate their pain. The scale is scored in a range of 0-10, with 0 representing no pain.

Time frame: 48 hours after surgery

Secondary Outcomes

NLR

neutrophil-to-lymphocyte ratio

Time frame: 48 hours after surgery

PLR

platelet-to-lymphocyte ratio

Time frame: 48 hours after surgery

total opioid consumption

morphine equivalents in miligrams

Time frame: 48 hours after surgery

Data from ClinicalTrials.gov

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