Postoperative Pain
Conditions
Keywords
caudal anesthesia, clonidine, morphine, bupivacaine
Brief summary
Hypothesis: The combined use of Clonidine and Morphine in caudal anesthesia provides better postoperative analgesia than either drug alone after urogenital pediatric surgery.
Detailed description
It is a randomized, double blind study, involving 80 children with ages from 1 to 10 years old, submitted to urogenital surgery, under general anesthesia and caudal block. The patients will be divided into 4 groups: bupivacaine alone, bupivacaine plus clonidine, bupivacaine plus morphine, bupivacaine plus clonidine and morphine. The peroperative consumption of analgesics and inhaled gases, BIS, heart rate and arterial blood pressure will be recorded. Postoperative pain will be evaluated by using Wong-Baker faces scale and pain and discomfort score scale, as well as the consumption of analgesics.
Interventions
1 mcg/kg
20 mcg/kg
bupivacaine 0,166% 1 ml/kg clonidine 1 mcg/kg morphine 20 mcg/kg
Caudal anesthesia with bupivacaine 0,166% 1 ml/kg
Sponsors
Study design
Eligibility
Inclusion criteria
* Urogenital pediatric surgery * Status physical(ASA) 1 and 2
Exclusion criteria
* Cutaneous infection in puncture site
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The overall postoperative consumption of analgesics. | 24 hours |
Secondary
| Measure | Time frame |
|---|---|
| The peroperative consumption of volatile anesthetics. | 3 hours |
| The peroperative Bispectral Index measure. | 3 hours |
| Postoperative Wong-Baker faces scale | 24 hours |
| Postoperative pain and discomfort score scale | 24 hours |
Countries
Brazil