ULTRASOUND-GUIDED ERECTOR SPINAE BLOCK VS FASCIA ILIACA COMPARTMENTAL BLOCK IN PERIOPERATIVE PAIN CONTROL IN children UNDERGOING SURGICAL REPAIR OF DEVELOPMENTAL Dysplasia OF THE HIP. A RANDOMIZED CONTROLLED TRIAL.

Document Type : Original Article

Authors

1 Anaesthesiology, ICU and Pain Management, Faculty of Medicine, Cairo University, Cairo, Egypt

2 Anaesthesiology, ICU and Pain Management, Faculty of Medicine, Cairo University, Cairo, Egypt.

10.21608/asja.2025.338421.1185

Abstract

Background: Peripheral nerve block is an analgesic modality in children which reduces surgical stress response, decreases parenteral opioids requirements, and improves the quality of post- operative pain control. We aim to compare the effect of ESB with FICB on perioperative pain control in children undergoing DDH.
Methods: This is Randomized controlled prospective interventional study where Children's age starts from 6 months to 8 years were enrolled. Patients were randomly allocated into three groups either the "erector spinae plane block" group (group A), the "fascia iliaca compartmental block" group (group B), or control group (group c). Assessment for intra and postoperative pain using hemodynamic parameters and FLACC pain score.

Results: sixty-three patients were enrolled. there was a statistically significant difference between the three groups regarding time to 1st rescue analgesic request, number of rescue analgesic doses and the rate of fentanyl top-up (P- values <0.001). The comparison between both groups receiving block revealed that FICB duration was significantly longer than ESPB (302.55 ± 51.38vs 240.11 ± 42.56min, P<0.001).

Conclusion: Fascia Iliaca Compartment Block provide long duration of post-operative analgesia compared to Erector Spinae Plane Block in hip surgeries in children.

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