Caudal Anesthesia
Conditions
Brief summary
Caudal anesthesia is the single most important pediatric regional anesthetic technique and is increasingly performed in pediatric regional anesthesia practices. It is preferred in order to relieve intra-operative and postoperative pain in children of all age groups undergoing pelvi-abdominal or lower limbs surgeries using levobupivacaine 0.25%.Various adjuvants have been added to levobupivacaine to prolong postoperative caudal analgesia. Nalbuphine as many opioids can be added in caudal analgesia. This prospective randomized double blind study was done to compare the effects of plain levobupivacaine versus Levobupivacaine plus nalbuphine single-shot for postoperative pain relief in children undergoing hypospadius repair surgery.
Interventions
PROCEDUREcaudal block
caudal block
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Years to 3 Years
Healthy volunteers
No
Inclusion criteria
* ASA I, II. * Age 1-3 years. * Patients scheduled for hypospadias repair surgeries.
Exclusion criteria
* ASA III, IV. * Signs of infection at site of injection. * Known coagulopathy disorder. * Mental and / or developmental retardation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Postoperative analgesia | 24 hours | Face legs activity cry consolablity score (FLACC) (0-10) Score: 0, no pain; 1-3, mild pain; 4-7, moderate pain; 8-10, severe pain |
| duration of analgesia | 24hours | Time to first analgesia request (TFAR) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| analgesic consumption | 24 hours | total dose of rescue analgesic |
Countries
Egypt
Outcome results
None listed