Infrared Thermography for Prediction of Successful Erector Spinae Plane Block in Unilateral Inguinal Hernia Surgery in Paediatric Patients

NCT ID: NCT07161375

Last Updated: 2025-09-08

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

RECRUITING

Total Enrollment

69 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-08-05

Study Completion Date

2025-09-01

Brief Summary

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This study aims to evaluate the accuracy of temperature change (ΔT) measurements using infrared thermography to predict a successful erector spinae plane block in pediatric patients undergoing inguinal hernia repair under general anesthesia.

Detailed Description

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Lower abdominal surgeries, including inguinal hernia repair, have been performed extensively in the daily practice of pediatric surgeries, so ensuring sufficient intra- and post-operative analgesia is crucial for perioperative care.

The ultrasound-guided erector spinae plane block (ESPB) is a regional anesthetic technique. Early detection of successful ESPB in pediatric patients will enable the application of rescue techniques at the appropriate time, thereby improving patient satisfaction and reducing operating theatre time.

There is considerable evidence regarding the value of infrared thermography in predicting successful nerve blocks. Infrared thermography is the process of using a thermal image to detect radiation (heat) coming from an object, converting it to temperature, and displaying an image of the temperature distribution.

Conditions

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Infrared Thermography Prediction Erector Spinae Plane Block Unilateral Inguinal Hernia Surgery Paediatric

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Study group

Children undergoing elective unilateral open inguinal hernia surgery.

Infrared Thermography

Intervention Type DEVICE

Infrared thermography will be used to predict the success of an erector spinae block by measuring the temperature difference between the blocked and unblocked sides.

Interventions

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Infrared Thermography

Infrared thermography will be used to predict the success of an erector spinae block by measuring the temperature difference between the blocked and unblocked sides.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age from 3 months to 6 years.
* Both genders.
* American Society of Anesthesiologists (ASA) Physical Status I-II.
* Children undergoing elective unilateral open inguinal hernia surgery.

Exclusion Criteria

* Parents' or guardians' refusal
* Known Allergy to local anesthetics.
* Coagulopathy \[international normalised ratio (INR) \>1.4 or platelets \<75.000\].
* Infection at the site of injection or wound close to the puncture site.
* preexisting neuropathy (with sensory and/or motor deficits).
* Diseases interfere with thermal imaging (as skin infections).
* Baseline oesophageal body temperature of more than 37.5 °C.
* Emergency and re-do cases will be excluded.
Minimum Eligible Age

3 Months

Maximum Eligible Age

6 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Marwa Abdelfatah Abdelrahman Abdelfatah

Assistant Lecturer of Anesthesia, Pain Management and surgical ICU, Faculty of Medicine, Cairo University, Cairo, Egypt.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Cairo University

Cairo, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Marwa A Abdelfatah, Master

Role: CONTACT

00201065276941

Facility Contacts

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Marwa A Abdelfatah, Master

Role: primary

00201065276941

Other Identifiers

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MD-210-2024

Identifier Type: -

Identifier Source: org_study_id

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