EOI Block for Laparoscopic Gastrostomy
Effect of Ultrasound-guided External Oblique Intercostal Fascial Plane Block in Pediatric Patients Undergoing Laparoscopic Gastrostomy: A Prospective Randomized Controlled Trial
Seoul National University Hospital
40 participants
Aug 1, 2025
INTERVENTIONAL
Conditions
Summary
This randomized controlled trial will evaluate the efficacy of ultrasound-guided external oblique intercostal fascial plane (EOI) block in reducing intraoperative and postoperative pain in pediatric patients undergoing laparoscopic gastrostomy under general anesthesia. Forty patients aged 3-18 years will be randomly allocated to receive either bilateral EOI block with 0.25% ropivacaine or sham block with normal saline. Primary outcome is percent change in heart rate at surgical incision. Secondary outcomes include intraoperative fentanyl use, perioperative analgesic requirements, postoperative pain scores (r-Face, Legs, Activity, Cry, Consolability(r-FLACC) and Pediatric Pain Profile), Analgesia Nociception Index values, and analgesia-related adverse events.
Eligibility
Inclusion Criteria2
- Scheduled for laparoscopic gastrostomy at Seoul National University Children's Hospital
- Age ≥3 and <18 years
Exclusion Criteria4
- Unstable vital signs
- Contraindications to ropivacaine or opioids
- Severe hepatic or renal dysfunction
- Other investigator-determined ineligibility
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Interventions
EOI block with 0.25% ropivacaine 1 mL/kg (max 40 mL) bilaterally under ultrasound guidance
Sham block with equal volume of normal saline bilaterally under ultrasound guidance
Locations(1)
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NCT07119346