Erector spinae plane blockade for pain relief in children with scoliosis surgery

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial investigates the use of erector spinae plane blockade (ESPB) to provide effective pain relief for pediatric patients undergoing spinal fusion surgery for idiopathic scoliosis. The study aims to evaluate the effectiveness of ESPB as part of a multimodal analgesic approach, potentially reducing reliance on opioids, which have known adverse effects. By injecting local anesthetic into the erector spinae muscle area, the trial seeks to assess the impact on postoperative pain management and inflammatory response. The study includes children classified as ASA I-III who are undergoing a specific surgical procedure.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* ASA I-III
* Diagnosed with Idiopathic scoliosis
* Undergoing single-stage posterior spinal instrumentation and fusion

Exclusion Criteria:

* Thorascopic tethering procedure
* Two-stage procedure
* Abnormal developmental profile
* Congenital/neuromuscular scoliosis
* Requiring PICU admission
* Known allergy to lidocaine
* Known cardiac, renal or liver disease or dysfunction
* Pre-existing pain complaints, i.e. on regular analgesic medications
* Current psychiatric diagnosis, e.g. anxiety, depression, eating disorder, defined according to DSM criteria.
* Requiring non-standard post-op pain management
* Any history of seizures
* Unplanned staged procedure
* Weight \< 5th centile or \> 85th centile for age
* Porphyria

Where it's running

• Lucille Packard Children's Hospital
  Palo Alto, California, United States Recruiting

Study contacts

• Study coordinator: Ban Tsui, MD
• Email: bantsui@stanford.edu
• Phone: (650)200-9107

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.