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The study will compare Ultrasound-Guided Lumbar Erector Spinae Plane Block and caudal block for Postoperative Analgesia in Hip and Proximal Femur Surgery in pediatric patients
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group ESPB | Active Comparator | Erector Spinae Plane Block |
|
| In group CEA | Active Comparator | Caudal epidural block |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| erector spinea block | Procedure | the patients will receive a single injection erector spinea block after induction of general anesthesia |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain score | By using face, legs, activity, and cry consolability scale [FLACC ] FLACC scale will be measured as following: Each category (face,legs,activity, and cry consolability) is scored on the 0-2 scale which results in a total score of 0-10. Assessment of the final score: 0 = Relaxed and comfortable 1-3 = Mild discomfort 4-6 = Moderate pain 7-10 = Severe discomfort/pain | 2 hours post-operatively |
| Measure | Description | Time Frame |
|---|---|---|
| pain scores | By using face, legs, activity, and cry consolability scale [FLACC ] FLACC scale will be measured as following: Each category (face,legs,activity, and cry consolability) is scored on the 0-2 scale which results in a total score of 0-10. Assessment of the final score: 0 = Relaxed and comfortable 1-3 = Mild discomfort 4-6 = Moderate pain 7-10 = Severe discomfort/pain | at 2 hour intervals during the first 24 hours postoperatively |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kasr Alaini hospital | Cairo | Egypt |
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| Caudal epidural block | Procedure | the patients will receive caudal epidural block after induction of general anesthesia |
|
| Block failure rate | The block will be considered a failed block if the patient required more than two doses of rescue analgesia in the first hour postoperatively | First hour postoperatively |
| Block performance time | Preoperative |
| The incidence of adverse effects | Up to one week after the block |
| Duration of the block | UP to 48 hours postoperatively |
| Degree of contralateral motor blockage and lower limb weakness | By using modified bromage scale as following: Grade I : Free movement of legs and feet Degree of block :Nil (0%) Grade II :Just able to flex knees with free movement of feet Degree of block :Partial (33%) Grade III :Unable to flex knees, but with free movement of feet Degree of block: Almost complete (66%) Grade IV :Unable to move legs or feet Degree of block: Complete (100%) | UP to 48 hours postoperatively |
| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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