Efficacy of Ultrasound-guided Greater Auricular Nerve Block in Preventing Postoperative Emergence Agitation in Pediatric Patients Undergoing Microscopic Middle Ear Surgery.

ConditionsEmergence Agitation Emergence Delirium, Anesthesia Emergence From Anesthesia Emergence Delirium Emergence Delirium in Pediatric Anesthesia Emergence Agitation, Post Operative Behavioral Changes

Trial statusRecruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age5-14

SponsorFayoum University

About this trial

This study is designed to evaluate the effectiveness of ultrasound-guided greater auricular nerve block (GAN) on the reduction of emergence agitation (EA) occurrence and EA severity in children who are receiving general anesthesia for a microscopic middle ear operation.

Eligibility criteria

Qualifiers

Age between 5 and 14 years (preschool to early school age group at highest risk for EA).

ASA physical status I or II.

Scheduled for elective microscopic middle ear surgery under general anesthesia (e.g., tympanoplasty, myringoplasty).

Ability to comply with FLACC and PAED scoring during postoperative period.

Disqualifiers

Known neurological, developmental, or psychiatric disorders (e.g., autism, ADHD, seizure disorder).

Known hypersensitivity to amide local anesthetics (e.g., lidocaine, bupivacaine).

Skin infection, hematoma, or trauma at or near the proposed block site.

Non-elective (emergency) or combined surgeries.

Trial design

Treatments tested in this trial

ultrasound-guided greater auricular nerve block (GANB)

Treatment groups

74 Participants

are divided into 2 treatment groups

Sponsors and collaborators

Fayoum University

Lead sponsor

Source ClinicalTrials.gov