Pain relief for high-risk children after anorectal and penile surgery using a targeted nerve block

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

The trial examines the use of ultrasound-guided sacral multifidus plane blocks as part of perioperative analgesia for pediatric patients at high anesthetic risk undergoing anorectal or penile procedures. It compares regional anesthesia with standard systemic analgesia to determine if the nerve block reduces reliance on systemic pain medicines and related complications. The approach involves placing local anesthetic in the plane between the sacral multifidus muscle and the intermediate sacral crest on both sides. Outcomes focus on pain control, recovery trajectory, and potential adverse effects in a high-risk pediatric population. The study is conducted at Zagazig University Hospital with parental consent as a key criterion for participation.

Why it matters

Who can join: the full rules

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.

Where it's running

• Zagazig university hospital
  Zagazig, Egypt Recruiting

Study contacts

• Principal investigator: Abdelrazek yousef, MD — Department of Pediatric surgery, Zagazig University
• Study coordinator: Abdalla Mohamed Goda Mohamed, MD
• Email: drabdogoda@gmail.com
• Phone: 1114166085

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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.