The goal of this clinical trial is to compare the analgesic effect and safety of erector spinae plane block vs caudal epidural block in paediatric population undergoing lower limb cancer surgery. The main questions it aims to answer are: * Which of them has a superior analgesic effect. * which of them is more safe and has less complication rate. Participants or their guardians should agree to share in the study (after full explanation of risks and benefits) to receive one of the previously mentioned regional blocks in conjunction with the classic balanced general anaesthesia.
This randomized parallel group clinical trial was carried out on 32 paediatric patients aged from 8 to 15 years old, both sexes, belonging to American Society of Anaesthesiologists II physical status, cancer patient receiving chemotherapy undergoing unilateral lower limb cancer surgery. Patients were divided into two equal groups: Group A: patients received selective unilateral ESPB and group B: patients received CEB. Both in conjunction with general anaesthesia. The primary outcomes were determining the postoperative time of first rescue analgesia and assessment of total postoperative morphine consumption using erector spinae block compared to CEB in the first 12 hours after surgery. The secondary outcomes were assessments of the pain severity intra- and post-operative parallel with recording any complication regarding drugs or procedures.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
32
Ultrasound guided local anesthetic injection in the course of the conducting nerve to decrease pain transmission.
National Cancer Institute
Cairo, ELkhalig, Egypt
Determining the actual postoperative time of need for the first rescue analgesia
Compare the actual postoperative time of need for the first rescue analgesia by the Numerical Rating Score in all cases in both groups when it is equal to or more than 4.
Time frame: Immediately and up to the first 12 hours post-operatively.
Assessment of total postoperative morphine consumption using erector spinae block compared to CEB in the first 12 hours after surgery.
Calculation of total postoperative morphine consumption in both groups.
Time frame: Immediately and up to the first 12 hours post-operatively.
Assessments of the pain severity intra- and post-operatively.
Using Numerical Rating Score for postoperative pain assessment and vital data with fentanyl consumption for intraoperative pain assessment.
Time frame: Intraoperatively and up to 12 hours postoperatively.
Recording any complication regarding drugs or procedures.
for example hypotension or local anaesthetic toxicity.
Time frame: Intraoperatively and up to 12 hours postoperatively.
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