Perioperative Use of Erector Spinae Plane Block (ESPB) and Intravenous Lidocaine Infusion in Anesthetic Management of Spinal Surgery in Children

Launched by SAINT PETERSBURG STATE UNIVERSITY, RUSSIA · May 2, 2025

Keywords

ClinConnect Summary

This clinical trial is studying two methods of pain relief for children who are having spinal surgery. The researchers want to find out if using a specific type of regional anesthesia called the Erector Spinae Plane Block (ESPB) can help children feel less pain after surgery compared to an intravenous (IV) lidocaine infusion, which is a medication given through a vein. The goal is to see if the ESPB can keep children comfortable longer before they need additional pain management.

Children between the ages of 3 and 17 who are scheduled for elective surgery on the thoracic (mid-back) or lumbosacral (lower back) spine may be eligible to participate in this study. To join, parents must provide signed consent, and the child must not have any medical conditions that would prevent the use of local anesthetics or require surgery on the cervical (neck) spine. During the trial, participants will receive either the ESPB or the IV lidocaine to help manage their pain after surgery, and the study will monitor how effective each method is at keeping pain levels down. This research aims to improve pain management strategies for young patients undergoing spinal surgery.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Elective surgery on the thoracic and lumbosacral spine. 2. Signed informed consent to participate in the study; 3. Age 3-17 years.
• Exclusion Criteria:
• • 1. Contraindications to the use of local anesthetics;
• • 2. Operations on the cervical spine;
• • 3. Contraindications to performing ESPB;
• • 4. The patient's refusal to participate in the study.