Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • All patients within the age range from 1 to 6 years scheduled for hypospadias surgery • ASA I or II physical status.
Exclusion criteria
Exclusion criteria: • Refusal of the patient’s parents or legal guardians to give informed consent. • History of allergy to any of the study drugs. • Neurological and/or psychological diseases. • Patients with contraindications to regional anesthesia (coagulopathy, deformities of the spine), • Cardiovascular diseases, or type I diabetes.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| postoperative pain intensity using modified objective pain scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Heart Rate and Mean Arterial Pressure ;The time to first analgesic request will be recorded (the time from LA injection to the first analgesic requirement).;Ramsay sedation score will be assessed 30 minutes after recovery (1 = anxiety and completely awake, 2 = completely awake, 3 = awake but drowsy, 4 = asleep but responsive to verbal commands, 5 = asleep but responsive to tactile stimulus, and 6 = asleep and not responsive to any stimulus).;The adverse effects: hypotension, bradycardia, respiratory depression (the SpO2 <95%), need O2 supplementation, nausea and vomiting.;Anesthetic requirements (ETsevo) will be recorded before skin incision then every 15 minutes till LMA removal;Intraoperative fentanyl (mic) and postoperative ketorolac (mg) & meperidine (mg) requirements. | — |
Countries
Egypt
Contacts
assistant professot