{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:17:45Z","timestamp":1787764665838,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"Abstract<\/jats:title>\n \n Background and Aims:<\/jats:title>\n Erector spinae plane block (ESPB) has been found to be simple, safe, and effective at thoracic and lumbar levels. There is no randomized controlled trial evaluating its effectiveness at sacral level. The present study was conducted to evaluate its effectiveness at sacral level for postoperative analgesia in pediatric patients undergoing hypospadias repair.<\/jats:p>\n <\/jats:sec>\n \n Material and Methods:<\/jats:title>\n \n Forty children of 2\u20137 years with ASA grade I or II were included. They were randomly allocated to one of the two groups of 20 patients each. After induction of general anesthesia, patients of group I were given ultrasound-guided sacral ESPB with 1 ml\/kg of 0.25% bupivacaine, and patients of group II were not given block. Postoperatively, pain was assessed using face, legs, activity, cry, consolability (FLACC) scale at 0 hour, every 15 min up to 1 hour, every half an hour up to 2 hours, 2 hourly up to 12 hours, and at 18\n th<\/jats:sup>\n hour and 24\n th<\/jats:sup>\n hour postoperatively. At FLACC score \u22654, rescue analgesia was given using 15 mg\/kg paracetamol infusion. Primary objective was to compare postoperative analgesic (paracetamol) consumption, and secondary objective was time to first rescue analgesia.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Mean postoperative paracetamol consumption was 360 \u00b1 156.60 mg in group I and 997.50 \u00b1 310.87 mg in group II (\n P<\/jats:italic>\n = 0.001). Time to first rescue analgesia was 906 \u00b1 224.51 min in group I and 205.00 \u00b1 254.92 min in group II (\n P<\/jats:italic>\n = 0.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Sacral ESPB has been found to be effective in reducing postoperative analgesic consumption in pediatric patients undergoing hypospadias repair.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/joacp.joacp_418_22","type":"journal-article","created":{"date-parts":[[2023,7,31]],"date-time":"2023-07-31T14:26:20Z","timestamp":1690813580000},"page":"330-335","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":14,"title":["Evaluation of USG-guided novel sacral erector spinae block for postoperative analgesia in pediatric patients undergoing hypospadias repair: A randomized controlled trial"],"prefix":"10.4103","volume":"40","author":[{"given":"Teena","family":"Bansal","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niharika","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suresh","family":"Singhal","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yogender","family":"Kadian","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jatin","family":"Lal","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamta","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7,29]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"42","DOI":"10.4103\/2356-9115.184077","article-title":"Evaluation of the analgesic effect of caudal dexamethasone combined with bupivacaine in hypospadias repair surgery","volume":"3","author":"Mohamed","year":"2016","journal-title":"Res 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