Comparing Postoperative Analgesic Techniques for Umbilical Hernia Repair: A Randomized Trial of Ultrasound Guided Caudal, Erector Spinae, and External Oblique Interfascial Plane Blocks

Condition(s) studied

Investigational drug(s) / intervention(s)

Erector Spinae Plane Block: The correct location of the needle tip in the fascial plane deep to the erector spinae muscle will be confirmed by injecting 0.5-1 ml of saline and observing the fluid lifting the erector spinae muscle off the transverse process while avoiding muscle distension (hydro dissection)

Caudal Block Anesthesia: The needle will be advanced at a 20-degree angle with needle tip and length visualization. A pop can be appreciated as the needle passes through the sacrococcygeal ligament. Once the needle will be confirmed to be in the caudal space on the screen, carefully aspirate to confirm absence of CSF or blood.

External Oblique Intercostal Plane Block: the needle will be advanced until the tip lay in the plane between the external oblique muscle and intercostal muscles between the sixth and seventh ribs

Study summary

The aim of this study is to evaluate the efficacy of ultrasound guided Erector block versus caudal block versus external oblique intercostal plane block perioperatively

Eligibility

Primary outcome measure(s)

• Primary outcome — 15 minute after operation , 30 minutes after operation and 4 h after operation
  Faces Legs Activity Cry Consolability tool (FLACC, 0- 10)

Trial sites (1)

More Tanta University trials in Egypt

Other trials for the same condition