Erector Spina Plane (ESP) Block in Pediatric Patients

Study Overview
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Brief Summary
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In this study, we aimed to evaluate the erector spina plane (ESP) block method that we used in our clinic with ultrasonography in pediatric cases between 1 month and 2 years of age who underwent laparotomy.

Detailed Description
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36 patients who will undergo laparotomy between the ages of 1 month and 2 years in ASA ( American Society of Anesthesiologists) I-II class will be included in the study. patients will be divided into 2 groups. Intraoperative erector spina plane block will be applied to the 1st group (group E) and intraoperative local anesthetic infiltration will be applied to the 2nd group (group L). Postoperative pain will be evaluated with the FLACC (face, legs, activity, crying, consolation) scale.

Official Title
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Evaluation of the Effect of Ultrasonographic Guided Erector Spina Plan Block Application on Postoperative Analgesia in Infants Undergoing Laparotomy

Conditions
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Acute Postoperative Pain

Intervention / Treatment
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* Other: Erector spina plane block
* Other: local infiltration


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 1 month and 2 years of age ASA (American Society of Anesthesiologists) I-II class Patients who underwent nephrectomy, pyeloplasty, adrenal tumor excision with unilateral paramedian incision Exclusion Criteria: Patients who underwent laparotomy with a midline incision Local infection at the injection site, Anatomical anomalies Allergies to local anesthetics, Coagulopathy, Liver, kidney failure patients

Ages Eligible for Study
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Minimum Age: 1 Month
Maximum Age: 2 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: group E<br>Intraoperative Erector spina plane block ( 0.3 ml/kg bupivacaine 0.25% at thoracic level 7 and 0.3 ml/kg bupivacaine 0.25% bupivacaine at thoracic level 11, totaling 0.6 ml/kg of 0.25% bupivacaine) will be performed after the surgery is completed. | Other: Erector spina plane block<br>* After the surgery is completed, intraoperative Erector spina plane block will be performed<br>|
| Other: group L<br>Intraoperative local infiltration (0.6 ml/kg of 0.25% bupivacaine will be given to the wound lips at the end of the surgery. | Other: local infiltration<br>* After the surgery is completed, intraoperative local infiltration will be performed<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the 6th hour pediatric pain scale, face ,legs , activity; cry;consolability (FLACC) | FLACC : Each of the five categories (F)face; (L)legs; (A)activity; (C)cry; (C)consolability is scored from 0-2 which results in a total score between 0 and 10. 0:relaxed and comfortable, 1-3: mild discomfortable, 4-6: moderate pain, 7-10: severe pain | 6th hour | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| paracetamol consumption | the total number of paracetamol requirements in the first 24 hours in all patients | 24 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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erector spina plane block, pediatric patient