Circumcision, Inguinal Hernia
Conditions
Keywords
caudal epidural analgesia, elective circumcision, elective inguinal herniorrhaphy
Brief summary
Caudal epidural analgesia (caudal block)is used in standard pediatric anesthesia practice. It has been shown to be effective in managing postoperative pain in children undergoing abdominal and infraumbilical surgery (Tobias et al 1994). Furthermore, studies have shown that children receiving caudal blocks have secondary benefits such as lower narcotic and anesthetic requirements, more rapid awakening from general anesthesia, decreased time to discharge home, and fewer pain-related behaviors postoperatively (Conroy et al 1993, Tobias et al 1995, Tobias 1996). This proposed study involves the use of a caudal block in children undergoing elective inguinal herniorrhaphy or orchiopexy to evaluate the role of preemptive analgesia in pediatric pain management. We hypothesize that by inhibiting peripheral pain receptors with a caudal block before the onset of a painful stimulus, we can decrease central nervous system sensitization and reduce postoperative analgesic requirements
Interventions
None listed
Sponsors
Loma Linda University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
2 Months to 2 Years
Healthy volunteers
Yes
Inclusion criteria
1. Age 2 months to 2 years 2. Weight 25kg or less 3. ASA class 1, 2, 3 4. Elective inguinal herniorrhaphy or orchiopexy
Exclusion criteria
1. Contraindications to caudal epidural analgesia 2. parent's refusal 3. skeletal or spinal cord anomaly 4. coagulopathy 5. infection at the insertion site 6. ongoing bacteremia 7. allergy to ropivacaine
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Usage of pain medications | over 24 hours |
Secondary
| Measure | Time frame |
|---|---|
| Pain scores | At various intervals for first 24 hours |
Countries
United States
Outcome results
None listed