Abdominal Surgeries, Anesthesia, Caudal Block, Pain, Pediatric Anesthesia
Conditions
Keywords
Caudal block, Ultrasound, Pediatric anesthesia, Pain
Brief summary
Ultrasound (US) has facilitated the use of caudal block in children and visualization of the needle during insertion. This prospective clinical trial study compares between two different sizes of the used needles, in terms of success rate, number of punctures, detection of the US signs (visualization of the needle, dural displacement, turbulence, and distention), and complications in pediatrics aging between 6-36 months requiring elective lower abdominal and perineal surgeries.
Detailed description
Ultrasound (US) has facilitated the use of caudal block in children, allowing an initial assessment of the anatomy of the sacrum, including the relationship of the sacral hiatus to the dural sac ending. Real-time US allows visualization of the needle during insertion to reach the dural sac, and to see the turbulence and distention of the layers during injection of the local anesthetic drug. This prospective clinical trial study compares between two different sizes of the used needles, in terms of success rate, number of punctures, detection of the US signs (visualization of the needle, dural displacement, turbulence, and distention), and complications in pediatrics aging between 6-36 months requiring elective lower abdominal and perineal surgeries.
Interventions
DEVICEThe use of classical Gauge 22 needle
After induction of general anesthesia, patients will undergo caudal block by using classical Gauge 22 needle under ultrasound guidance using a linear probe 5.5-12 MHz.
DEVICEThe use of classical Gauge 27 needle
After induction of general anesthesia, patients will undergo caudal block by using Gauge 27 needle under ultrasound guidance using a linear probe 5.5-12 MHz.
Sponsors
University of Jordan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
6 Months to 36 Months
Healthy volunteers
Yes
Inclusion criteria
* Age between 6 months and 36 months * Undergoing elective lower abdominal or perineal surgeries
Exclusion criteria
* Refusal of the legal guardian of the patient. * Patients aging less than 6 months, or older than 36 months. * Emergency surgeries. * Coagulopathy. * infection at the site of procedure. * Uncorrected hypovolemia. * Increased intracranial pressure. * Congenital anomalies at the site of procedure.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain score in the post-anesthesia care unit (PACU) | 120 minutes | Pain score will be assessed regularly during the stay in the PACU using a pain scoring scale, where the score is interpreted from 0 to 10, in which 0 means no pain and 10 signifies very severe pain. |
| Peri-operative complications | 210 minutes | Peri-operative complications related to the caudal block procedure will be documented from the start of the procedure till the discharge from the post-anesthesia care unit. |
| Opioids requirements intraoperatively | 90 minutes | The investigators will document the required dose of opioids intraoperatively |
Countries
Jordan
Outcome results
None listed