Anesthesia, Caudal
Conditions
Keywords
Caudal, anesthesia, morphine, children
Brief summary
The aim of this study is to test an efficacy and safety of supplemented by Morphine caudal anesthesia in children who undergo renal surgery in our department.
Detailed description
The kidney surgery is a significant part of surgical armamentarium in pediatric urology. The common operations are open and laparoscopic pyeloplasty, partial nephrectomy open and laparoscopic and laparoscopic nephrectomy. One of the main goals in the postoperative period is to provide a painless recovery following by early mobilization of the child and early discharge home. Caudal anesthesia has become a gold standard in the renal surgery providing painless postoperative period, allowing earlier child feeding and speedy recovery. However some researchers have pointed out that caudal anesthesia with supplemented with Marcaine may provide painless postoperative period only for a very limited period of time and required additional painkiller therapy during postoperative period. Caudal anesthesia supplemented with Morphine has demonstrated their benefits in children who undergo infraumbilical surgery.
Interventions
Standard caudal anesthesia (Marcaine 2mg/kg)
DRUGcaudal anesthesia supplemented with morphine
Caudal anesthesia supplemented with Morphine (10 µg/kg in children less than 10 kg and 20 µg/kg in children more than 10 kg)
Sponsors
Shaare Zedek Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
2 Months to 12 Years
Healthy volunteers
No
Inclusion criteria
* children who are scheduled for renal surgery from two months age to puberty * operations are open and laparoscopic pyeloplasty, partial nephrectomy open and laparoscopic and laparoscopic nephrectomy
Exclusion criteria
* malignancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| statistical diffirence in intraoperative and postoperative narcotic requirements + filling of the pain assessment questionnaire | at the end of operation (anesthesiological report) and at the end of 1 post-op day (nurse report) | The following parameters will be compared between two groups: the length of surgery, intraoperative and postoperative narcotic requirements. The children parents or children thyself will be asked to fill out the pain assessment questionnaire. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Side-effects measuring | during operation and within 1 post-op day | Side-effects such as vomiting, itching, respiratory depression, hypotension, and bradycardia will be observed. Oral intake and discharge home will be recorded. Complications rate will be recorded and compared between two groups. |
Countries
Israel
Outcome results
None listed