Perioperative Analgesia Using Ultrasound Guided Erector Spinae Block vs Ultrasound Guided Caudal Block for Pain Control in Children Aged 2-7 Years Undergoing Lower Abdominal Surgery

Perioperative Analgesia With Ultrasound Guided Erector Spinae Block Versus Ultrasound Guided Caudal Block in Children

The goal of this prospective study is to is to evaluate the perioperative pain management of Erector Spinae Block versus Caudal Block using the Face, Legs, Activity, Cry, Conceal ability (FLACC) Pain Scale inn children aged 2 to 7 years old. The main question it aims to answer is:

Which block is more efficient in the perioperative period?

Participants will be evaluated intraoperative and postoperative for hemodynamic changes and their pain will evaluated according to the FLACC score.

Inclusion Criteria:

• Age between 2-7 years old.
• ASA I-II.
• Elective surgery under general anaesthesia.
• Lower abdominal surgery.

Exclusion Criteria:

• Parent/caregiver refusal.
• Allergy to one of the study medications.
• Renal or cardiac disease.
• Infection or redness at the site of injection.
• Clinically significant coagulopathy.
• Spinal anomalies.
• Altered mental status.
• Developmental delay.
• Additional surgery at different surgical sites.
• Block failure.