الفهرس 
Ultrasound-guided lumbar erector spinae plane block versus caudal block for postoperative analgesia in hip and proximal femur surgery in pediatric patients: A prospective randomized controlled study
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Abstract
Foundation: Regional sedation strategies have been broadly utilized in pediatric medical procedure to forestall postoperative agony. Ultrasound-direction has given a protected method for singling infusion and nonstop procedures in local sedation, the utilization of intraoperative sedative and postoperative pain relieving medications can be diminished. In this concentrate on the perioperative pain relieving adequacy of erector spinae plane square (ESPB) was contrasted with that of caudal epidural square (CEA) in hip and Proximal Femur Surgery in pediatric patients.
Techniques: A Randomized Comparative Trial included 76 patients who were planned for hip medical procedures at Cairo University kids’ Hospital (Abu El-Reesh). Notwithstanding segment information, important bodily functions, torment scores, block term, analgesics top up intraoperative and postoperative salvage portions and square disappointment rate were recorded. The essential result of the review was surveying Pain score at 2-hrs post-usable.
Results: Seventy-six patients were remembered for the last investigation (38 in each gathering). Torment appraisal utilizing FLACC scale 2 hours after extubation showed no genuinely importance distinction between the two gatherings ESPB and CEA block. In any case, Results showed measurably critical outcomes with (2.11±1.74, 1.03±1.08) of ESP and CEA individually with p esteem 0.005 for torment scale at 15 minutes post extubation, (2.55±1.29, 1.74 ±0.92) of ESP and CEA separately with p esteem 0.004 for torment scale at 30 minutes post extubation,The season of first salvage absense of pain was longer in caudal square than ESPB with p worth of <0.001, the quantity of portionsof salvage absense of pain was lower in caudal than ESPB with p worth of 0.035. our outcomes showed that CEA was actually more straightforward than ESPB as the occurrence of square disappointment was lower in the previous square (2.6% versus 7.9%).
Decision: An unobtrusive postoperative advantage of CEA when contrasted with ESPB for Postoperative Analgesia in Hip and Proximal Femur Surgery in pediatric patients. Post-usable torment scores, time to initially safeguard absense of pain and the quantity of dosages of salvage absense of pain were lower in patients getting CEA .be that as it may, no noteworthy distinction in the intraoperative narcotic necessities was noted between the two gatherings.