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Efficacy of Ultrasound-guided Greater Auricular Nerve Block in Preventing Postoperative Emergence Agitation in Pediatric Patients Undergoing Microscopic Middle Ear Surgery.

RecruitingNAAges 5 Years - 14 YearsAllFayoum University
NCT07435675 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

This study is designed to evaluate the effectiveness of ultrasound-guided greater auricular nerve block (GAN) on the reduction of emergence agitation (EA) occurrence and EA severity in children who are receiving general anesthesia for a microscopic middle ear operation.

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📋 Eligibility rules (as published)
Inclusion Criteria: * Age between 5 and 14 years (preschool to early school age group at highest risk for EA). * ASA physical status I or II. * Scheduled for elective microscopic middle ear surgery under general anesthesia (e.g., tympanoplasty, myringoplasty). * Ability to comply with FLACC and PAED scoring during postoperative period. * Informed consent obtained from a parent or legal guardian. Exclusion Criteria: * Known neurological, developmental, or psychiatric disorders (e.g., autism, ADHD, seizure disorder). * Known hypersensitivity to amide local anesthetics (e.g., lidocaine, bupivacaine). * Skin infection, hematoma, or trauma at or near the proposed block site. * Non-elective (emergency) or combined surgeries. * Inability to assess pain or agitation due to hearing loss, or communication impairment. * Parental or legal guardian refusal to participate.
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What it tests

  • ultrasound-guided greater auricular nerve block (GANB)
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Where

1 site
Fayoum University Hospital
Al Fayyum, Egypt
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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