Comparing Two Ultrasound-Guided Nerve Blocks for Pain Relief in Children Aged 6 to 12 Undergoing Upper Abdominal Surgery

What this Trial Is About

This research aims to compare two types of ultrasound-guided nerve blocks used for managing pain in children undergoing upper abdominal surgeries. It focuses on evaluating the external oblique intercostal plane block and the erector spinae plane block, both regional anesthesia techniques that help reduce postoperative pain and improve recovery in pediatric patients aged 6 to 12 years. The study involves two groups of children receiving either the external oblique intercostal plane block, which targets thoracoabdominal nerves at the sixth intercostal space, or the erector spinae plane block, which delivers anesthesia beneath the erector spinae muscle near the vertebrae. Both procedures are guided by ultrasound to ensure accurate placement. The trial is randomized and double-blinded to fairly compare these two methods. Participants will be monitored for pain levels 12 hours after surgery, along with heart rate, blood pressure, and oxygen saturation every 15 minutes during surgery. Researchers will also assess the duration of pain relief, additional pain medication needed, and any complications within 12 hours post-surgery. The study is sponsored by Alexandria University and plans to start in May 2025, with participation involving close monitoring during and after surgery.

External Oblique Intercostal Plane Block Versus Erector Spinae Plane Block in Paediatric Upper Abdominal Surgeries