Pain, Rescue Analgesia
Conditions
Keywords
Bupivacaine, Dexmedetomidine, Inguinal herniotomy, Rescue Analgesia
Brief summary
A random controlled trial, was held at Jinnah Hospital in Lahore, consisting of 60 male pediatrics (6 months to 12 years), who were undergoing unilateral inguinal herniotomy or hydrocele repair. Patients were randomly allocated in two groups: Group A alone received 1 mL/kg 0.25% bupivacaine, while Group B received the same dose with 1 μg/kg dexmedetomidine. The pain score was evaluated by Wong-Beker Face Scale postoperatively every two hours, rescue analgesia (intravenous paracetamol 10 mg/kg) when the pain score reached ≥4
Interventions
A 22G cannula was used to perform a caudal block in the left lateral position under sterile conditions following the induction of anesthesia and before the surgery. 30 participants were included and administered 1 mL/kg 0.25% bupivacaine and 1 μg/kg dexmedetomidine. Post operative pain was assessed.
DRUGBupivacain
A 22G cannula was used to perform a caudal block in the left lateral position under sterile conditions following the induction of anesthesia and before the surgery. 30 participants had received 1 mL/kg 0.25% bupivacaine. Post operative pain was assessed.
Sponsors
Allama Iqbal Medical College
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
MALE
Age
6 Years to 12 Years
Healthy volunteers
Yes
Inclusion criteria
* Male children who were undergoing elective unilateral inguinal herniotomy or hydrocele surgery
Exclusion criteria
* Patients were excluded if they were already on analgesic (according to medical records) * Obstructed inguinal hernias or bilateral hernias (confirmed through ultrasound)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post operative Pain | 2 hourly assessment for 8 hours on basis of pain score | In both groups the attending physician recorded postoperative pain every two hours using the Wong-Baker Faces Pain Scale. Intravenous Paracetamol (10 mg/kg/dose) was given as rescue analgesia if the patient reported a pain score of ≥4, and the duration of the administration was recorded. Structured proforma were used to record all pertinent data. |
Countries
Pakistan
Outcome results
None listed