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Effect of addition of dexamethasone to local anaesthetic in PENG block for pain releif after hip surgery in children

Effect of perineural dexamethasone as adjunct to ropivacaine in PENG block Pericapsular Nerve Group Block for postoperative pain surgical stress and opioid sparing effect in pediatric hip surgeries A prospective randomized control trial - NIL

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/04/085254
Enrollment
70
Registered
2025-04-21
Start date
Unknown
Completion date
Unknown
Last updated
2025-04-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: Q650- Congenital dislocation of hip, unilateral Health Condition 2: Q650- Congenital dislocation of hip, unilateral

Interventions

Intervention1: PENG block with Ropivacaine and Dexamethasone: USG guided PENG block with 0.2 percent Ropivacaine 0.5 ml per kg with Dexamethasone 0.1 milligram per kg Control Intervention1: USG Guided

Sponsors

Shibani Padhy
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Children between the age groups of 1 to 10 years scheduled for elective unilateral correction of developmental dysplasia of the hip (DDH) will be included in the study

Exclusion criteria

Exclusion criteria: Exclusion criteria will include presence of infection at the site of the regional block, coagulation disorders, American Society of Anesthesiologists physical status of IV or higher, mental retardation and a history of prior steroid medication. Post inclusion exclusion criteria will be intraoperative ionotrope support or failure to requirement of postoperative mechanical ventilation.

Design outcomes

Primary

MeasureTime frame
Time to first rescue opioid analgesicTimepoint: First 24 hours after surgery

Secondary

MeasureTime frame
Changes in pain scores as assessed by Face Legs Activity and Cry and Controllability Scale FLACC valuesTimepoint: At 2 4 8 12 16 20 24 28 32 36 40 44 and 48 hours after surgery.;Total opioid consumptionTimepoint: 48 hours after surgery;Stress response assessed by neutrophil-to-lymphocyte and platelet-to-lymphocyte ratioTimepoint: At baseline and at 24 hours and 48 hours after surgery;Postoperative blood glucose levels.Timepoint: At baseline and 24 hours and 48 hours after surgery

Countries

India

Contacts

Public Contactshibani padhy

Nizams Institute of medical sciences

drshibanipadhy@gmail.com8332921975

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026