Comparing Two Ultrasound-Guided Nerve Blocks for Pain Relief After Inguinal Hernia Surgery in Children Aged 2 to 12 Years

What this Trial Is About

Researchers are comparing two types of ultrasound-guided nerve blocksparavertebral block and erector spinae plane blockfor pain relief after inguinal hernia repair in children aged 2 to 12 years. This study aims to see which technique better controls postoperative pain and reduces the need for additional pain medication. The trial also evaluates parent satisfaction with the pain management and monitors for any complications from the blocks. Participants are randomly assigned to one of three groups one receiving the paravertebral block, another receiving the erector spinae plane block, and a control group receiving standard general anesthesia without a regional block. Both blocks use a mixture of bupivacaine and lidocaine injected near the spine at the T10 level under ultrasound guidance. Pain management for all groups includes intravenous paracetamol, with ibuprofen available as rescue analgesia if needed. Throughout the 24 hours after surgery, researchers will measure the total amount of rescue analgesia used, the time until first request for additional pain relief, and pain intensity at rest and during movement. They will also record any complications, such as hematoma or infection, and ask parents to rate their satisfaction with the pain control. The study includes careful monitoring during and after the operation to assess the safety and effectiveness of the interventions.

Ultrasound Guided Paravertebral Block Versus Erector Spinae Block for Postoperative Analgesia After Inguinal Hernia Repair in Pediatric Patients