Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Post-surgical caudal block: Caudal block given at end of surgery, before awakening. 0.2% Ropivacaine (1ml/kg)
Control Intervention1: Pre-surgical caudal block: Conventional caudal bloc
Sponsors
AIIMS Rishikesh, Uttrakhand
Eligibility
Inclusion criteria
Inclusion criteria: Male child:Aged 1-8 years ASA I and II children undergoing hypospadias repair surgery
Exclusion criteria
Exclusion criteria: skin infection or abscess at the side of caudal injection parents disagreement / refusal to consent patients having coagulopathy / on anticoagulants known allergy to any local anaesthetics children with neuromuscular disorders spinal dysraphism(meningomyelocele/sacral dimples) mental retardation/delayed development
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall incidence of the following surgical complications: Urethro-cutaneous fistula, Local skin necrosis, Wound infection, Hematoma, Glans dehiscence and urethral strictureTimepoint: Post operative: Day 5, Day 10, 1 month and 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of post-operative analgesiaTimepoint: Post operative, the time to first rescue analgesic requirement at a FLACC score more than 5 or Visual Analogue Score corresponding to Numerical rating scale of more than 5 (in older children).;Intra-operative blood lossTimepoint: At the end of surgery;Intra-operative increase in penile volumeTimepoint: 0,10,15 & 30 minutes post induction of anesthesia;Surgery durationTimepoint: End of surgery;Surgery revision rate (requirement of re-surgery)Timepoint: Ascertained at 1 & 6 months post operative;Surgical stress response [blood glucose, by point of care glucometer]Timepoint: 0,30,60 & 90 minutes post induction | — |
Countries
India
Contacts
Public ContactDr Osharani Rathor
All India Institute of Medical Sciences Rishikesh
Outcome results
None listed