[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100573897":3},{"organization":4,"armGroups":7,"interventions":24,"overallOfficials":30,"centralContacts":39,"locations":49,"responsibleParty":68,"collaborators":30,"id":72,"slug":73,"hasResults":74,"nctId":75,"briefTitle":76,"officialTitle":77,"acronym":30,"eligibilityCriteria":78,"healthyVolunteers":79,"sex":80,"minAge":81,"maxAge":82,"enrollmentInfo":83,"targetDuration":30,"studyType":86,"phases":87,"briefSummary":89,"conditions":90,"keywords":92,"overallStatus":52,"whyStopped":30,"lastUpdateSubmitDate":96,"lastUpdatePostDateStruct":97,"startDateStruct":100,"completionDateStruct":102,"leadSponsor":104,"locationsCount":105},{"fullName":5,"class":6},"Zagazig University","OTHER_GOV",[8,14,19],{"label":9,"type":10,"description":11,"interventionNames":12},"Group paravertebral (PVB) block","ACTIVE_COMPARATOR","In the lateral decubitus and after sterilization and identifying the level of T10 ,linear ultrasound probe will be placed in the midline over the spinous process at the chosen level, then the probe will be moved laterally to view the lamina and hyperechoic transverse process ,the pleural should be visible as a bright white line .The needle should be inserted in -plane from lateral to medial and the needle tip should end in a hypoechoic triangular space .Correct needle placement should be confirmed by anterior displacement of pleura with injection of small volume of saline then 0.5 ml\u002Fkg of a mixture of 0.25 ℅ bupivacaine and 1℅ lidocaine (1:1) will be injected",[13],"Procedure: ultrasound guided paravertebral block",{"label":15,"type":10,"description":16,"interventionNames":17},"Group erector spinae plane (ESP) block","In the lateral decubitus position ,after sterilization, the linear ultrasound probe will be placed over transverse process of T10 ,after optimizing the image in sagittal or transverse scanning ,A 50 mm 22-G needle will be placed under the erector spinae muscle in -in plane orientation until it contacted T8 transverse process in the cranial caudal direction ,after hydro dissection and confirmation that the tip of the needle is between the transverse process and the fascia of the erector spinae muscle group, 0.5 ml\u002Fkg of a mixture of 0.25 ℅bupivacaine and 1℅ lidocaine (1:1) will be injected and the surgery will be started after 15 min",[18],"Procedure: Ultrasound guided erector spinae plane block",{"label":20,"type":10,"description":21,"interventionNames":22},"Control group (group C)","will receive standard general anesthesia with pain management protocol without regional block. Pain management protocol for all patients will include IV paracetamol 15 mg\u002Fkg every 6 hrs. (max dose for children \\\u003C50 kg is 60 mg\u002Fkg daily and if body weight ≥ 50 kg max dose is 4 gm daily) . Ibuprofen will be given as rescue analgesia 10 mg\u002Fkg IV if MOPS was \\> 3 at rest or after movement and can be repeated every 6 hrs not exceeding 400 mg\u002Fdose and max daily dose 40 mg\u002Fkg.",[23],"Procedure: control group C",[25,31,35],{"type":26,"name":27,"description":28,"armGroupLabels":29,"otherNames":30},"PROCEDURE","ultrasound guided paravertebral block","after sterilization and identifying the level of T10 ,linear ultrasound probe will be placed in the midline over the spinous process at the chosen level, then the probe will be moved laterally to view the lamina and hyperechoic transverse process ,the pleural should be visible as a bright white line .The needle should be inserted in -plane from lateral to medial and the needle tip should end in a hypoechoic triangular space. Correct needle placement should be confirmed by anterior displacement of pleura with injection of small volume of saline then 0.5 ml\u002Fkg of a mixture of 0.25 ℅ bupivacaine and 1℅ lidocaine (1:1) will be injected",[9],null,{"type":26,"name":32,"description":33,"armGroupLabels":34,"otherNames":30},"Ultrasound guided erector spinae plane block","After sterilization, the linear ultrasound probe will be placed over transverse process of T10 ,after optimizing the image in sagittal or transverse scanning ,A 50 mm 22-G needle will be placed under the erector spinae muscle in -in plane orientation until it contacted T8 transverse process in the cranial caudal direction ,after hydro dissection and confirmation that the tip of the needle is between the transverse process and the fascia of the erector spinae muscle group, 0.5 ml\u002Fkg of a mixture of 0.25 ℅bupivacaine and 1℅ lidocaine (1:1) will be injected",[15],{"type":26,"name":36,"description":37,"armGroupLabels":38,"otherNames":30},"control group C","will receive standard general anesthesia with pain management protocol without regional block.",[20],[40,46],{"name":41,"role":42,"phone":43,"phoneExt":44,"email":45},"Dina Sadek Salem, MD","CONTACT","0109933513","002","dinamaghraby@yahoo.com",{"name":47,"role":42,"phone":48,"phoneExt":44,"email":30},"Fatima Ahmed, MD","01018951337",[50,60],{"facility":51,"status":52,"city":53,"state":30,"zip":30,"country":54,"countryCode":55,"cosmosGeoPoint":30,"geoPoint":30,"contacts":56},"faculty of human medicine, Zagazig university hospitals","RECRUITING","El Sharkia","Egypt","EG",[57],{"name":58,"role":42,"phone":59,"phoneExt":44,"email":30},"Ahmed Hegab, MD","01000089347",{"facility":61,"status":52,"city":53,"state":30,"zip":30,"country":54,"countryCode":55,"cosmosGeoPoint":30,"geoPoint":30,"contacts":62},"Faculty of Human Medicine, Zagazig University",[63,64,66],{"name":58,"role":42,"phone":59,"phoneExt":44,"email":45},{"name":65,"role":42,"phone":48,"phoneExt":44,"email":30},"FATIMAH MAHMOUD, MD",{"name":67,"role":42,"phone":30,"phoneExt":30,"email":30},"DINA SALEM, MD",{"type":69,"investigatorFullName":70,"investigatorTitle":71,"investigatorAffiliation":5,"oldNameTitle":30,"oldOrganization":30},"PRINCIPAL_INVESTIGATOR","Dina Abdelhameed Elsadek Salem","principle investigator","100573897","ultrasound-guided-paravertebral-block-versus-erector-spinae-block-for-postoperative-analgesia-after-inguinal-hernia-repair-in-pediatric-patients-100573897",false,"NCT06752252","Ultrasound Guided Paravertebral Block Versus Erector Spinae Block for Postoperative Analgesia After Inguinal Hernia Repair in Pediatric Patients","Ultrasound Guided Paravertebral Block Versus Erector Spinae Plane Block for Postoperative Analgesia After Inguinal Hernia Repair in Pediatric Patients: a Randomized Clinical Trial","Inclusion Criteria:\n\n1 - Parents acceptance\n\n2\\. Age: preschool and school age child (24 months-12 years old).\n\n3\\. Sex: both sex (males or females).\n\n4\\. Physical status: ASA 1\\& II.\n\n5\\. Type of operation: elective unilateral inguinal hernia repair\n\nExclusion Criteria:\n\n1- Patient with any contraindications of regional blocks (as coagulopathy or local infection at injection site)\n\n2\\. Patients with known history of allergy to the study drugs (bupivacaine and lidocaine).\n\n3\\. Advanced hepatic, renal, cardiovascular, neurologic and respiratory diseases.",true,"ALL","24 Months","12 Years",{"count":84,"type":85},158,"ESTIMATED","INTERVENTIONAL",[88],"NA","The aim of the study is to compare postoperative analgesia in pediatric patients undergoing inguinal hernia repair by comparing the efficacy of ultrasound guided paravertebral block versus ultrasound guided erector spinae plane block.",[91],"Analgesia, Postoperative",[93,27,94,95],"postoperative analgesia","ultrasound guided erector spinae plane block","inguinal hernia repair in pediatric","2024-12-31",{"date":98,"type":99},"2025-01-01","ACTUAL",{"date":101,"type":99},"2024-12-30",{"date":103,"type":85},"2025-12-30",{"name":5,"class":6},2]