Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • ASA I or II patients • Age 1 to 8 years • Elective unilateral herniotomy
Exclusion criteria
Exclusion criteria: • Parent’s or guardian’s refusal. • Body weight > 25kg. • Septic spots over sacral region. • Sacral bone deformity. • Day cases. • History of bleeding disorders. • Allergy to bupivacaine, ketorolac or paracetamol. • Patients with hepatic or renal disease. • Presence of anal abnormalities. • Co-existing neurological diseases. • Peptic ulcer disease. • Bilateral herniotomy. • History of asthma
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of patients scoring either = 5 points (pain-free) if self-reporting or = 4 points (pain-free) if not self-reporting using the Objective Pain Scale at each pain assessment interval will form the primary outcome measure. | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to first analgesic requirement postoperatively. ;Mean analgesic consumption in 24 hours postoperatively (in milligrams);Frequency of Pentazocine dosing in 24 hours postoperatively;Changes in baseline and intraoperative pulse rate, blood pressure, respiratory rate and oxygen saturation (SpO2).;Incidence of complications associated with the use of caudal bupivacaine or intravenous ketorolac and paracetamol such as hypotension, urinary retention, leg weakness and vomiting.;Parental satisfaction of analgesic comfort of the children. | — |
Countries
Nigeria
Contacts
Consultant Anaesthetist and Head of Department of Anaesthesia Garki Hospital Abuja