Comparing Suprascapular Nerve Block and Interscalene Block for Post-thoracotomy Pain in Pediatric Patients.

Description

The goal of this clinical trial is to determine which regional block provides superior analgesia in pediatric patients undergoing thoracic surgery. The main questions it aims to answer are: * Does one block technique provide better pain relief? * Does the choice of block reduce opioid requirements and complication rates? Researchers will compare two block techniques to see if one offers an effective opioid-sparing strategy that improves patient comfort and reduces side effects. Participants will: * Receive one of the studied block interventions during thoracic surgery. * Be monitored for postoperative pain scores, opioid consumption, and any complications.

Interventions

• Interscalene brachial plexus block (Procedure)
  regional anesthesia technique performed at the level of the upper trunks of the brachial plexus to provide pain relief and anesthesia for surgeries involving the shoulder, clavicle, and upper arm. It is commonly used in orthopedic and thoracic procedures where shoulder pain is significant.
• anterior Supraclavicular nerve block (Procedure)
  is a regional anesthesia technique targeting the trunks of the brachial plexus just above the clavicle, providing rapid and dense anesthesia for surgeries of the upper limb below the shoulder. It is often referred to as the "spinal of the arm" because of its effectiveness in numbing the arm quickly.
• Thoracic Epidural Analgesia (TEA) only (Other)
  Control- standard treatment. A regional anesthesia technique in which a local anesthetic (sometimes combined with opioids) is injected into the epidural space of the thoracic spine to block nerve transmission and provide pain relief.

Eligibility criteria

Conditions

Locations

• Children's Cancer Hospital 57357 — Cairo, Egypt, Egypt