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this prospective randomized double blind controlled study was conducted on 60 child scheduled for lower abdominal surgery under general anesthesia. the patients were randomly allocated into 3 parallel groups.group (ESB) patients received ultrasound-guided erector spinae block in a dose of 0.4mg/ml of 0.25%bupivacaine between the 10th transverse process and erector spinae muscles.group(CB) patients received ultrasound-guided caudal block in a dose of 2.5mg/kg of 0.25%bupivacaine. group(CO) did,t received any block
on arrival of the patients to the operative theatre and after placement of the standard monitoring general inhalational anesthesia was induced by face mask with sevoflurane (4-8%) in oxygen after IV cannula was secured patients received 1mic/kg fentanyl and intubation was facilitated by 0.5mg/kg atracurium. isoflurane 1-2% with oxygen was used for maintenance of anesthesia. after stabilization of the patient's hemodynamics and before skin incision erector spinae block or caudal block was performed with the patient in lateral position. after the block patients were flipped back to their normal supine position, surgery took place 10 min after injection of local anesthetic. after termination of surgery reversal of the atracurium was done by giving neostigmine in a dose of 0.04mg/kg and atropine 0.02mg/kg and awake extubation was done
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Erector spinae group | Active Comparator | the child received ultrasound-guided erector spinae muscle block in a dose of 0.4mg/kg of 0.25%bupivacaine between the 10th transverse process and erector spinae muscle |
|
| caudal group | Active Comparator | child received ultrasound-guided caudal block in a dose of 2.5mg/kg of bupivacaine 0.25% |
|
| control | No Intervention | child didn't received any regional block |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| erector spinae block - caudal block | Procedure | the child placed in lateral position identification of spinous process of 10th thoracic vertebral then the transducer was moved 2.5 cm laterally to visualize the transverse process and a total of 0.4mg/kg of 0.25%bupivacaine was adminstered |
| Measure | Description | Time Frame |
|---|---|---|
| number of patients need rescue analgesia | total number of patients need addition of anagesia | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| First analgesic request | First time that patient require analgesia | 24 hours |
| Hemodynamic changes in the study period | Changes in HR and blood pressure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ibrahim Talaat, MD | professor | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine | Minya | 61111 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35793181 | Derived | Abdelrazik AN, Ibrahim IT, Farghaly AE, Mohamed SR. Ultrasound-guided Erector Spinae Muscle Block Versus Ultrasound-guided Caudal Block in Pediatric Patients Undergoing Lower Abdominal Surgeries. Pain Physician. 2022 Jul;25(4):E571-E580. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Mar 17, 2021 | |
| Reset | Apr 12, 2021 | |
| Release | Jun 1, 2021 | |
| Reset | Jun 22, 2021 | |
| Release | Jul 19, 2021 | |
| Reset | Aug 12, 2021 | |
| Release | Sep 9, 2021 | |
| Reset | Oct 6, 2021 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Mar 17, 2021 | Apr 12, 2021 | |||
| Jun 1, 2021 |
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|
| 24 hours |
| Jun 22, 2021 |
| Jul 19, 2021 | Aug 12, 2021 |
| Sep 9, 2021 | Oct 6, 2021 |