Postoperative Analgesia
Conditions
Brief summary
this prospective randomized double blind controlled study was conducted on 60 child scheduled for lower abdominal surgery under general anesthesia. the patients were randomly allocated into 3 parallel groups.group (ESB) patients received ultrasound-guided erector spinae block in a dose of 0.4mg/ml of 0.25%bupivacaine between the 10th transverse process and erector spinae muscles.group(CB) patients received ultrasound-guided caudal block in a dose of 2.5mg/kg of 0.25%bupivacaine. group(CO) did,t received any block
Detailed description
on arrival of the patients to the operative theatre and after placement of the standard monitoring general inhalational anesthesia was induced by face mask with sevoflurane (4-8%) in oxygen after IV cannula was secured patients received 1mic/kg fentanyl and intubation was facilitated by 0.5mg/kg atracurium. isoflurane 1-2% with oxygen was used for maintenance of anesthesia. after stabilization of the patient's hemodynamics and before skin incision erector spinae block or caudal block was performed with the patient in lateral position. after the block patients were flipped back to their normal supine position, surgery took place 10 min after injection of local anesthetic. after termination of surgery reversal of the atracurium was done by giving neostigmine in a dose of 0.04mg/kg and atropine 0.02mg/kg and awake extubation was done
Interventions
PROCEDUREerector spinae block - caudal block
the child placed in lateral position identification of spinous process of 10th thoracic vertebral then the transducer was moved 2.5 cm laterally to visualize the transverse process and a total of 0.4mg/kg of 0.25%bupivacaine was adminstered
Sponsors
Minia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
2 Years to 6 Years
Healthy volunteers
No
Inclusion criteria
* pediatric patients aged 2-6 years scheduled for lower abdominal surgery under general anesthesia
Exclusion criteria
* parent refusal * spinal and meningeal anomalies * mental retardation * blood disease * infection at site of injection * drug allergy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| number of patients need rescue analgesia | 24 hours | total number of patients need addition of anagesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| First analgesic request | 24 hours | First time that patient require analgesia |
| Hemodynamic changes in the study period | 24 hours | Changes in HR and blood pressure |
Countries
Egypt
Outcome results
None listed