Multifidus Plane Block Versus Caudal Block for Hypospadias

Ain Shams University30 enrolled

Overview

This study aims to evaluate the safety and efficacy of ultrasound-guided sacral multifidus plane block and compare its analgesic effect to ultrasound-guided caudal block in pediatric patients undergoing hypospadias surgery under general anesthesia

Peri-operative pain management in pediatric surgeries is considered a challenging issue for the anesthesiologists. The usage of regional anesthesia in association with general anesthesia (GA) is a simple intraoperative way that reduces (GA) requirements and side effects. Recently, paraspinal fascial plane block, the sacral multifidus plane block (MPB), was used successfully in infants. The study has been designed to determine the effect of MPB versus caudal epidural block to control peri-operative pain in hypospadias surgeries in children.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

Conditions

Hypospadias Caudal Block

Interventions

Multifidus plane blockPROCEDURE

Using the "in-plane" technique,The fascial plane between the multifidus muscle and the median sacral crests of S2 and S3, will be injected by bupivacaine.

caudal blockPROCEDURE

The ultrasound transducer will first be placed transversely at the midline to obtain the transverse view of sacral hiatus. At this level, the ultrasound transducer is rotated 90 degrees to obtain the longitudinal view of sacral hiatus. The block needle is inserted using the "in-plane" technique.

Eligibility

Sex: MALEMin age: 1 YearMax age: 7 Years

Medical Language ↔ Plain English

Inclusion Criteria: * ⦁ Children aged (1 -7) years old. * All patients will be of ASA classification I, II physical status Exclusion Criteria: * ⦁ Parents refusing to participate are excluded from the trial. * Children who had spinal anomalies, altered mental status. * A history of developmental delay. * Blood diseases: Coagulopathy or anaemia. * Infection at the site of injection. * Drug allergy.

Locations (1)

Ain Shams University

Cairo, Egypt

Outcomes

Primary Outcomes

is to measure the first time to rescue analgesia postoperative (24 hours).

Measure the first time to rescue analgesia post operative

Time frame: 24 hours postoperative

Secondary Outcomes

Heart rate

measuring HR changes

Time frame: start to end of surgery

Blood pressure

measuring BP changes

Time frame: start to end of the surgery.

Data from ClinicalTrials.gov

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