Evaluation of a Femoralis, n Femoralis and m Iliopsoas Tendon Sonoanatomy According to Age Groups in Children

NCT ID: NCT04860479

Last Updated: 2024-02-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

150 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-04-26

Study Completion Date

2024-01-25

Brief Summary

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This study aims to examine the sonoanatomy of the inguinal region in children according to age groups.

Detailed Description

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Regional anesthesia is frequently used in adults and children as part of multimodal analgesia or as a direct anesthesia method. Nowadays, these regional blocks can be applied more safely with the widespread use of ultrasound in daily clinical practice. Also, by identifying individual variations with ultrasound, the risk of block failure and possible complications has been minimized. Femoral nerve block and pericapsular nerve group block are now almost the first techniques used in hip and lower extremity surgeries or different indications. (1) Besides, these methods have become more advantageous in many aspects compared to spinal anesthesia in high-risk patients. However, to apply safe and successful regional anesthesia, both gross anatomy and sonoanatomy of the relevant region must be known well.

There are sufficient clinical and anatomical studies on these anesthesia methods applied in the inguinal region in adults, and there is no anatomical and anthropometric study in children. (2,3) However, well-known anatomic reference points for performing these blocks in adults may be different in children. (4) Therefore, with this study, we planned to develop appropriate anatomic reference points for these blocks in children by evaluating the relationship between sonography and inguinal region structures (such as distance, diameter measurement) in children's age groups.

Conditions

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Anatomic Abnormality Anatomy Pediatrics Anatomic Landmarks Anthropometry

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Infants: 28 days - 12 month

inguinal sonoanatomy

ultrasound

Intervention Type DEVICE

ultrasonography to inguinal region

small children: 13 months - 36 months

inguinal sonoanatomy

ultrasound

Intervention Type DEVICE

ultrasonography to inguinal region

preschool age: 37 months - 72 months

inguinal sonoanatomy

ultrasound

Intervention Type DEVICE

ultrasonography to inguinal region

school age: 73 months - 9 years

inguinal sonoanatomy

ultrasound

Intervention Type DEVICE

ultrasonography to inguinal region

Preadolescant: >9 years - 12 years

inguinal sonoanatomy

ultrasound

Intervention Type DEVICE

ultrasonography to inguinal region

Adolescants: >12 years - 18 years

inguinal sonoanatomy

ultrasound

Intervention Type DEVICE

ultrasonography to inguinal region

Interventions

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ultrasound

ultrasonography to inguinal region

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* All pediatric patients

Exclusion Criteria

* a previous surgical history to the related area
Minimum Eligible Age

28 Days

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Kocaeli University

OTHER

Sponsor Role collaborator

Derince Training and Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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Hande Gurbuz

Medical Doctor, Associate Professor, Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hande Gurbuz, Assoc. Prof.

Role: PRINCIPAL_INVESTIGATOR

Bursa Yuksek Ihtisas Training and Research Hospital

Locations

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Bursa Yuksek Ihtisas Training and Research Hospital

Bursa, Yıldırım, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Giron-Arango L, Peng PWH, Chin KJ, Brull R, Perlas A. Pericapsular Nerve Group (PENG) Block for Hip Fracture. Reg Anesth Pain Med. 2018 Nov;43(8):859-863. doi: 10.1097/AAP.0000000000000847.

Reference Type RESULT
PMID: 30063657 (View on PubMed)

Orozco S, Munoz D, Jaramillo S, Herrera AM. Pediatric use of Pericapsular Nerve Group (PENG) block for hip surgical procedures. J Clin Anesth. 2019 Nov;57:143-144. doi: 10.1016/j.jclinane.2019.04.010. Epub 2019 Apr 22. No abstract available.

Reference Type RESULT
PMID: 31022606 (View on PubMed)

Frkovic V, Warmlander SK, Petaros A, Spanjol-Pandelo I, Azman J. Finger width as a measure of femoral block puncture site: an ultrasonographic anatomical-anthropometric study. J Clin Anesth. 2015 Nov;27(7):553-7. doi: 10.1016/j.jclinane.2015.07.015. Epub 2015 Aug 31.

Reference Type RESULT
PMID: 26337562 (View on PubMed)

Vloka JD, Hadzic A, Drobnik L, Ernest A, Reiss W, Thys DM. Anatomical landmarks for femoral nerve block: a comparison of four needle insertion sites. Anesth Analg. 1999 Dec;89(6):1467-70. doi: 10.1097/00000539-199912000-00028.

Reference Type RESULT
PMID: 10589630 (View on PubMed)

Yoshimura M, Nakanishi T, Sakamoto S, Toriumi T. Age is a predictive factor in the femoral nerve positioning: an anatomical ultrasound study. J Anesth. 2018 Oct;32(5):777-780. doi: 10.1007/s00540-018-2544-2. Epub 2018 Aug 21.

Reference Type RESULT
PMID: 30132074 (View on PubMed)

Gurbuz H, Colak T. Evaluation of inguinal sonoanatomy regarding pericapsular nerve group (PENG) block in children: the relation of femoral artery, femoral nerve, lateral femoral cutaneous nerve and iliopsoas notch. BMC Anesthesiol. 2025 Mar 31;25(1):144. doi: 10.1186/s12871-025-03020-2.

Reference Type DERIVED
PMID: 40165082 (View on PubMed)

Other Identifiers

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2011-KAEK-25

Identifier Type: -

Identifier Source: org_study_id

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