Despite the growing interest in interfascial blocks and their successful use in pediatric surgeries, no previous randomized clinical trials have directly compared the analgesic efficacy, opioid-sparing effect, and safety profile of the fascia transversalis block versus the caudal block in pediatric patients undergoing unilateral inguinal hernia repair. This study aims to address this gap by providing the first head-to-head randomized comparison between both blocks in a standardized surgical setting
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
50
Patients will receive a caudal block with 0.5 mL/kg of Bupivacaine 0.25% injected. The commercial preparation that will be used is Bupivacaine HCl (Sunny Pharmaceutical, Egypt)
Patients will receive Fascia Transversalis Block using 0.5 mL/kg of Bupivacaine 0.25% . The commercial preparation that will be used is Bupivacaine HCl (Sunny Pharmaceutical, Egypt)
Kasr Alaini hospital
Cairo, Egypt
Time to the first request for rescue analgesia
the interval between the end of surgery (extubation) and the first need for analgesia (paracetamol)
Time frame: 24 hours post-operatively
Total intraoperative fentanyl consumption
Time frame: from the start of general anesthesia until the extubation
Postoperative FLACC (Face, Legs, Activity, Cry, Consolability) pain scores
Each of the five behaviors will be scored on a scale of 0 to 2. The scores are then added together to get a total score, which can range from 0 (no pain) to 10 (severe pain).
Time frame: 24 hours postoperatively
Total paracetamol dose in 24 hours
Time frame: 24 hours postoperatively
Parental satisfaction score
Will be measured using a 5-point Likert scale: 1. = Extremely dissatisfied 2. = Unsatisfied 3. = Neutral 4. = Satisfied 5. = Extremely satisfied
Time frame: 24 hours postoperatively
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