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Anesthesiology

Erector spinae plane block versus caudal block for postoperative analgesia in pediatric patients undergoing inguinal hernia repair: a randomized controlled trial

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Article: 2298868 | Received 29 Jul 2023, Accepted 19 Dec 2023, Published online: 28 Dec 2023

Figures & data

Figure 1. Longitudinal parasagittal ultrasound image of erector spinae plane block performed at the L1 transverse process. ESM: erector spinae muscle; TP: transverse process; T12: twelfth thoracic vertebra; L1: first lumbar vertebra; L2: second lumbar vertebra.

Figure 1. Longitudinal parasagittal ultrasound image of erector spinae plane block performed at the L1 transverse process. ESM: erector spinae muscle; TP: transverse process; T12: twelfth thoracic vertebra; L1: first lumbar vertebra; L2: second lumbar vertebra.

Figure 2. A transverse ultrasound image of the sacral hiatus between the two sacral cornua (upward arrow). The downward arrow indicates the sacrococcygeal ligament.

Figure 2. A transverse ultrasound image of the sacral hiatus between the two sacral cornua (upward arrow). The downward arrow indicates the sacrococcygeal ligament.

Figure 3. Consolidated Standards of Reporting Trials (CONSORT) flow diagram. ESPB: erector spinae plane block.

Figure 3. Consolidated Standards of Reporting Trials (CONSORT) flow diagram. ESPB: erector spinae plane block.

Table 1. Demographic and clinical characteristics of participants.

Figure 4. The proportion of participants who did not receive rescue analgesia. Cross marks represent that follow-up was censored at 24 hours postoperatively. ESPB: erector spinae plane block; HR: hazard ratio; CI: confidence interval.

Figure 4. The proportion of participants who did not receive rescue analgesia. Cross marks represent that follow-up was censored at 24 hours postoperatively. ESPB: erector spinae plane block; HR: hazard ratio; CI: confidence interval.

Figure 5. FLACC pain scores during the postoperative 24 h. Data are mean with error bars showing standard deviation. A linear mixed model showed that the FLACC scale was significantly lower in the ESPB group than in the caudal group at 6, 8, and 12 hours postoperatively (p < .001, p < .001, and p = .001, respectively). ESPB: erector spinae plane block; FLACC: face, legs, activity, cry, and consolability.

Figure 5. FLACC pain scores during the postoperative 24 h. Data are mean with error bars showing standard deviation. A linear mixed model showed that the FLACC scale was significantly lower in the ESPB group than in the caudal group at 6, 8, and 12 hours postoperatively (p < .001, p < .001, and p = .001, respectively). ESPB: erector spinae plane block; FLACC: face, legs, activity, cry, and consolability.

Table 2. Secondary outcomes.

Supplemental material

Supplemental Material

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Data availability statement

The data and materials supporting the results or analyses presented in this paper are available upon reasonable request.