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.
Abd el fttah, I., Saleh, R., Elsonbaty, A., Hassan, B., Elbasha, Y., Soaida, S. (2025). 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.. EKB Journal Management System, 17(1), 1-10. doi: 10.21608/asja.2025.338421.1185
Islam Rasmy Abd el fttah; Reham Hussein Saleh; Ahmed Elsonbaty; Bassma Hassan; Yasmin Saad Elbasha; Shreif Soaida. "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.". EKB Journal Management System, 17, 1, 2025, 1-10. doi: 10.21608/asja.2025.338421.1185
Abd el fttah, I., Saleh, R., Elsonbaty, A., Hassan, B., Elbasha, Y., Soaida, S. (2025). '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.', EKB Journal Management System, 17(1), pp. 1-10. doi: 10.21608/asja.2025.338421.1185
Abd el fttah, I., Saleh, R., Elsonbaty, A., Hassan, B., Elbasha, Y., Soaida, S. 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.. EKB Journal Management System, 2025; 17(1): 1-10. doi: 10.21608/asja.2025.338421.1185

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.

Ain-Shams Journal of Anesthesiology
Volume 17, Issue 1, January 2025, Pages 1-10    PDF (463.44 K)
Document Type: Original Article
DOI: 10.21608/asja.2025.338421.1185
Authors
Islam Rasmy Abd el fttah* 1; Reham Hussein Saleh2; Ahmed Elsonbaty2; Bassma Hassan2; Yasmin Saad Elbasha2; Shreif Soaida2
1Anaesthesiology, ICU and Pain Management, Faculty of Medicine, Cairo University, Cairo, Egypt
2Anaesthesiology, ICU and Pain Management, Faculty of Medicine, Cairo University, Cairo, Egypt.
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.
Keywords
Children; Erector Spinae Plane Block; Fascia Ilaca Compartment Block; Hip
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