Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Forearm nerve block with 0.25% ropivacaine with 0.5mcg/kg dexmedetomidine.: children undergoing hand surgery will recieve forearm nerve block with 0.25% ropivacaine with 0.5mcg/kg dex
Sponsors
ALL INDIA INSTITUTE OF MEDICAL SCIENCES
Eligibility
Inclusion criteria
Inclusion criteria: 1. Children between age group 1-12 years 2. Either sex 3. ASA I & II 4. Elective cases for hand surgery. 5. Consent given
Exclusion criteria
Exclusion criteria: 1.Parents refusal to participate in the study 2.Patient undergoing emergency surgery. 3.Children with significant cardiovascular, neurological, pulmonary, or genetic disorders. 4.Known allergy to local anaesthetic agent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare analgesic efficacy of forearm nerve block with ropivcaine alone or ropivacaine combined with different doses of dexmedetomidine as adjuvant for post-operative pain using pain score and total fentanyl requirement post-surgery for 12 hours.Timepoint: Patient will be monitored from the point of nerve block upto 12 hours post operatively for the study. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Intraoperative hemodynamic variables like HR, BP, sp02.Timepoint: Patient will be monitored from the point of nerve block upto end of surgery.;2.Duration of analgesia - Time to first dose of analgesicTimepoint: Time from end of surgery to requirement of first rescue analgesia in post operative period;3.Total analgesic consumption in peri-operative period.Timepoint: Total analgesic consumption from start of surgery to 12 hours postoperatively;4.Comparing the post operative pain by FLACC score (1-7years)/ NRS score(7-12 years) at immediate postoperative period, 1 hour, 2 hours , 4 hours, 6 hours and 12 hours post-surgeryTimepoint: Immediate postoperative period, 1 hour, 2 hours , 4 hours, 6 hours and 12 hours post-surgery;5. Parental satisfaction score at end of 4 hrs and 12 hours post-surgery (5-point Likert scale)Timepoint: At end of 4 hrs and 12 hours post-surgery;6.Incidence of side effects like sedation, hypotension, bradycardiaTimepoint: Time from end of surgery to 12 hours post operatively | — |
Countries
India
Contacts
Public ContactHEENA GARG
AIIMS NEW DELHI
Outcome results
None listed