Supra Inguinal Fascia Iliaca Block Versus Ultrasound-guided Caudal Analgesia for Pediatrics Undergoing Anterior and Lateral Thigh Surgeries: A Randomized Controlled Trial

NCT07056946 | Not Yet Recruiting DMC

• 1 other identifier: AP2502-501-098-195
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

patients will then be randomized in the two groups.

1. 1.Group C: in this group children will receive US-guided caudal analgesia (CA) after GA. The caudal block will be performed
2. 2.Group B: in this group children will receive lower limb peripheral nerve blocks in the form of US-guided fascia iliaca Block.

Conditions

Cancer Bone

Keywords

Supra inguinal fascia iliaca Block ,Caudal Analgesia,Pediatrics

Outcome Measures

Primary Outcomes (1)

• • Estimation of time of first rescue postoperative analgesia

  4 hours postoperatively

Study Arms (2)

Group C: in this group children will receive US-guided caudal analgesia (CA) after GA.

ACTIVE COMPARATOR

The caudal block will be performed by visualizing the sacral hiatus at the level of the sacral cornu after placing the probe transversely obtaining a short axis view

Other: Caudal Block Anesthesia

Group B: in this group children will receive lower limb peripheral nerve blocks in the form of US

EXPERIMENTAL

With the patient in the proper position, the skin is disinfected and the transducer positioned to identify the femoral artery and the iliopsoas muscle and fascia iliaca. The transducer is moved laterally until the sartorius muscle is identified. After a skin wheal is made, the needle is inserted in-plane

Other: Fascia Iliaca Nerve Block

Interventions

Fascia Iliaca Nerve Block OTHER

With the patient in the proper position, the skin is disinfected and the transducer positioned to identify the femoral artery and the iliopsoas muscle and fascia iliaca. The transducer is moved laterally until the sartorius muscle is identified. After a skin wheal is made, the needle is inserted in-plane

Group B: in this group children will receive lower limb peripheral nerve blocks in the form of US

Caudal Block Anesthesia OTHER

The caudal block will be performed by visualizing the sacral hiatus at the level of the sacral cornu after placing the probe transversely obtaining a short axis view, two hyperechoic lines will appear between the sacral cornu the superficial line is the sacrococcygeal ligament

Group C: in this group children will receive US-guided caudal analgesia (CA) after GA.

Eligibility Criteria

• Age: 1 Year - 18 Years
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Age 1-12 years
• scheduled for anterior and lateral thigh Surgeries
• American Society of Anesthesiologists (ASA) physical status II or III

You may not qualify if:

• Refusal of parental consent
• Allergy to any local anesthetics

Sponsors & Collaborators

• National Cancer Institute, Egypt: lead

Study Sites (1)

National Cancer institute

Cairo, Egypt

Location

MeSH Terms

Conditions

Bone Neoplasms

Condition Hierarchy (Ancestors)

Neoplasms by Site; Neoplasms; Bone Diseases; Musculoskeletal Diseases

Central Study Contacts

suzan Adlan Adlan, MD

CONTACT

+201111068300; dr_s.adlan@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant professor

Study Record Dates

• First Submitted: June 29, 2025
• First Posted: July 9, 2025
• Study Start: August 1, 2025
• Primary Completion (Estimated): July 1, 2026
• Study Completion (Estimated): July 1, 2026
• Last Updated: July 15, 2025

Record last verified: 2025-07

Locations

EG (1)