Erector Spinae Plane Block for Children Undergoing Thoracoscopic Sympathectomy

Menoufia University40 enrolled

Overview

This study aims to evaluate the influence of ultrasound-guided erector spinae plane block on postoperative pain and diaphragmatic dysfunction in pediatric patients undergoing thoracoscopic sympathectomy.

Pain may occur after pediatric thoracic surgery in cases such as skin incision creation, rib traction, and drain placement, and in other cases, such as rib nerve injury. Such pain is highly unfavorable to pediatric patients' recovery as it may lead to reduced cough strength for clearing secretions, decreased functional residual capacity, and pulmonary complications such as atelectasis and pneumonia. Erector spinae plane block (ESPB) is a novel trunk block to relieve chronic neuropathic pain. Since then, it has gained prominence as a regional anesthesia technique with the potential to revolutionize postoperative pain management, and it has been effectively administered not only for the management of perioperative pain for a wide variety of surgeries but also for the management of acute post-traumatic pain and chronic pain.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Erector Spinae Plane Block Children Thoracoscopic Sympathectomy

Interventions

Erector spinae plane blockOTHER

Patients will receive bilateral erector spinae plane block after the induction of general anesthesia as a study group.

General anesthesiaOTHER

Patients will not receive the block after the induction of general anesthesia as a control group.

Eligibility

Sex: ALLMin age: 6 YearsMax age: 16 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age from 6 to 16 years. * Either sexes (male or female). * American Society of Anesthesiologists (ASA) physical status I-II. * Scheduled for bilateral thoracoscopic sympathectomy under general anesthesia. Exclusion Criteria: * History of allergy to local anesthetics. * Abnormal liver/kidney function. * Severe spinal deformities. * Bleeding or coagulation disorders. * Skin damage or infection at the proposed puncture site.

Locations (1)

Menoufia University

Shibīn al Kawm, Menoufia, Egypt

RECRUITING

Outcomes

Primary Outcomes

Degree of pain

Postoperative pain assessment with the numeric rating scale (NRS) score. NRS (0 represents "no pain" while 10 represents "the worst pain imaginable"). NRS will be assessed on arrival at the post-anesthesia care unit (PACU), 1, 2, 4, 8, 12, and 24 h postoperatively.