Ignite Creation Date:
2024-10-26 @ 3:38 PM
Last Modification Date:
2024-10-26 @ 3:38 PM
Study NCT ID:
NCT06563622
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-08-13
Brief Title:
Pericapsular Nerve Group Block Versus Caudal Block for Postoperative Pain Management in Pediatric Hip Surgery
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Ultrasound-Guided Pericapsular Nerve Group Block Versus Ultrasound-Guided Caudal Block for Postoperative Pain Management in Pediatric Hip Surgery a Randomized Controlled Trail
Status:
RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Children can experience substantial pain after hip operations causing agitation depression and sleep disruption which can have a negative impact on their health Opioids are associated with several serious side effects that limits its use as solo agents for pain management Regional blocks such as caudal Block CB and pericapsular nerve group PENG block in adjuvant with general anaesthesia are alternative perioperative analgesic techniques that lead to lesser side effects including motor weakness postoperative nausea and vomiting with decreased opioid consumption
Detailed Description:
Regional anesthesia is often used to prevent postoperative pain in pediatric surgery Combined with general anesthesia GA ultrasound US-guided regional anesthetic approaches provide simple intraoperative pathway that reduced GA requirements lower pain score with less impact on the respiratory or cardiovascular system
In pediatric surgery caudal block CB is a low-cost simple and effective procedure for postoperative analgesia CB is suggested for most surgeries in the lower body primarily below the umbilicus Although the well-established anesthetic properties of CB its action terminates early in the postoperative period and it has a number of restrictions such as anatomical abnormalities or infection at the injection site that can prevent its use
PENG block is the plane lying between the psoas muscle and tendon and the ilio-pubic eminence The single-shot PENG block has lately been reported in the cadaveric study and in the literature for perioperative pain management in hip surgery by aiming the articular arms of the accessory obturator nerve AON femoral nerve FN and obturator nerve ON The technical simplicity of imaging in traction-fixed patients and no need for multiple punctures made this blockage ideal for young pediatric patients Unfortunately there are no adequate studies regarding PENG block in patients younger than five years old
This study was carried out to assess ultrasound-guided PENG block versus CB for their efficacy safety and pain management in pediatric hip surgery
In pediatric surgery caudal block CB is a low-cost simple and effective procedure for postoperative analgesia CB is suggested for most surgeries in the lower body primarily below the umbilicus Although the well-established anesthetic properties of CB its action terminates early in the postoperative period and it has a number of restrictions such as anatomical abnormalities or infection at the injection site that can prevent its use
PENG block is the plane lying between the psoas muscle and tendon and the ilio-pubic eminence The single-shot PENG block has lately been reported in the cadaveric study and in the literature for perioperative pain management in hip surgery by aiming the articular arms of the accessory obturator nerve AON femoral nerve FN and obturator nerve ON The technical simplicity of imaging in traction-fixed patients and no need for multiple punctures made this blockage ideal for young pediatric patients Unfortunately there are no adequate studies regarding PENG block in patients younger than five years old
This study was carried out to assess ultrasound-guided PENG block versus CB for their efficacy safety and pain management in pediatric hip surgery
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None