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RECRUITING Not applicable ClinicalTrials.gov

Analgesia for Perineal Surgeries in High-risk Pediatric Patients

Sponsor: Zagazig University • ClinicalTrials.gov ID: NCT07602894

Registry updated: 2026-08-24
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Description

Perioperative pain management in pediatric patients, especially for anorectal and penile surgeries, presents significant challenges for anesthetists. Complications associated with systemic analgesia, such as respiratory issues, cardiovascular problems, and neurological effects, can be avoided by using regional anesthesia. This study aims to evaluate the effectiveness of Ultrasound-Guided Sacral Multifidus Plane Block as a method for perioperative analgesia in high-risk pediatric patients undergoing anorectal and penile surgeries, to reduce the risks associated with systemic analgesia.

Interventions

  • Systemic analgesia (Other)
    Patients will receive 10 milligrams per kilogram body weight of intravenous paracetamol every 8 hours and fentanyl 1 microgram per kilogram body weight intravenously as rescue analgesia.
  • Sacral multifidus plane block (Procedure)
    Patients will receive an ultrasound-guided sacral multifidus plane block after induction of general anesthesia.

Eligibility criteria

Inclusion Criteria: * Parents or caregivers' acceptance. * High-risk pediatric patients (the American Society of Anesthesiologists physical status class III-IV) * Body mass index equal to 5%: 85% of the same age and sex. Exclusion Criteria: * Child with a contraindication to the regional block, such as infection at the site of injection, or coagulopathy. * Pre-existing neurological disorders.

Conditions

Analgesia

Locations

  • Zagazig university hospital — Zagazig, Egypt
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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

View Official Record