Caudal Block, Hypospadias
Conditions
Keywords
Hypospadias, caudal block
Brief summary
This study aims to evaluate the safety and efficacy of ultrasound-guided sacral multifidus plane block and compare its analgesic effect to ultrasound-guided caudal block in pediatric patients undergoing hypospadias surgery under general anesthesia
Detailed description
Peri-operative pain management in pediatric surgeries is considered a challenging issue for the anesthesiologists. The usage of regional anesthesia in association with general anesthesia (GA) is a simple intraoperative way that reduces (GA) requirements and side effects. Recently, paraspinal fascial plane block, the sacral multifidus plane block (MPB), was used successfully in infants. The study has been designed to determine the effect of MPB versus caudal epidural block to control peri-operative pain in hypospadias surgeries in children.
Interventions
PROCEDUREMultifidus plane block
Using the "in-plane" technique,The fascial plane between the multifidus muscle and the median sacral crests of S2 and S3, will be injected by bupivacaine.
PROCEDUREcaudal block
The ultrasound transducer will first be placed transversely at the midline to obtain the transverse view of sacral hiatus. At this level, the ultrasound transducer is rotated 90 degrees to obtain the longitudinal view of sacral hiatus. The block needle is inserted using the "in-plane" technique.
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
MALE
Age
1 Years to 7 Years
Healthy volunteers
No
Inclusion criteria
* ⦁ Children aged (1 -7) years old. * All patients will be of ASA classification I, II physical status
Exclusion criteria
* ⦁ Parents refusing to participate are excluded from the trial. * Children who had spinal anomalies, altered mental status. * A history of developmental delay. * Blood diseases: Coagulopathy or anaemia. * Infection at the site of injection. * Drug allergy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| is to measure the first time to rescue analgesia postoperative (24 hours). | 24 hours postoperative | Measure the first time to rescue analgesia post operative |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Heart rate | start to end of surgery | measuring HR changes |
| Blood pressure | start to end of the surgery. | measuring BP changes |
Countries
Egypt
Outcome results
None listed