PENG plus lateral femoral cutaneous nerve block versus lumbar and sacral erector spinae plane blocks for pediatric hip 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 randomized controlled trial enrolls children aged 2–16 undergoing elective orthopedic hip procedures to compare two regional anesthesia strategies: a pericapsular nerve group (PENG) block combined with a lateral femoral cutaneous nerve block versus lumbar and sacral erector spinae plane blocks. All blocks use 0.2% ropivacaine, and the protocol will examine whether adding dexamethasone or dexmedetomidine as adjuvants prolongs analgesia. Primary outcomes include postoperative pain scores and opioid consumption, with secondary measures of block-related complications and recovery milestones. The trial seeks to identify which technique provides superior analgesia and fewer opioid-related side effects in the pediatric hip surgery population.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Pediatric patients aged between 2 and 16 years.
* Scheduled for elective orthopedic hip surgery, including: Osteotomies and Hip reconstruction surgeries
* ASA (American Society of Anesthesiologists) physical status classification: I-III.
* Written informed consent obtained from the patient's legal guardian(s).

Exclusion Criteria:

* Known allergy or hypersensitivity to any of the study medications
* Presence of infection or inflammation at the intended injection site(s) of regional anesthesia.
* Coagulopathy or bleeding disorders (including patients on anticoagulant therapy) that contraindicate nerve blocks.
* Neurological disorders or peripheral neuropathies that could influence sensory or motor assessment of the lower limbs.
* Cognitive impairment or behavioral disorders significantly affecting pain assessment accuracy or cooperation.
* History of chronic opioid use or known substance abuse.
* Severe systemic disease or condition compromising patient safety or interfering with study protocol adherence.

Where it's running

• Poznan University of Medical Sciences
  Poznan, Poland Recruiting

Study contacts

• Principal investigator: Malgorzata Reysner, M.D. Ph.D. — Poznan University of Medical Sciences
• Study coordinator: Malgorzata Reysner
• Email: mreysner@ump.edu.pl
• Phone: +48 61 873 83 03

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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.