cerebral palsy Epidural analgesia Intravenous fentanyl infusion Postoperative pain control Cerebral palsy Major orthopedic surgery
Conditions
Interventions
caudal block single shot technique loss of resistence at sacral hiatus drug 0.25%bupivacaine 1ml/kg after intubation
And start infusion intravenous fentanyl after finish operation with drug fentanyl0.
epidural block technique loss of resistant at L3-
4 or L4-
5 after intubation and test dose with 0.25% bupivacaine with adrenaline 1:200,
000 0.1 ml/kg
-
intraoperative give 0.25% bupivacaine 0.3 ml/kg for loading and 0.25% bupivacaine 0.2 ml/kg q 2 hr
-
Start infusion epidural solution after finish operation with 0.1% bupivacaine 0.3 ml/kg/hr with fentanyl 1 mcg/ml
Experimental Procedure/Surgery,Experimental Procedure/Surgery
intravenous fentanyl infusion group,epidural analgesia group
Sponsors
Queen Sirikit National Institute of Child Health
Queen Sirikit National Institute of Child Health
Eligibility
Sex/Gender
All
Age
1 Years to 15 Years
Inclusion criteria
Inclusion criteria: - cerebral palsy - Age 1–15 year - major orthopedic surgery
Exclusion criteria
Exclusion criteria: - drug allergy - contraindication for epidural block - recieve pain control before surgery - ASA classification > III
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| number of patients who have moderate to severe pain after surgery 8,16,24 hr Non-Communicating Children's Pain Checklist-Postoperative Version (NCCPC-PV) | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative complication 24 hr Question and criteria | — |
Countries
thailand
Contacts
Public Contactprathana wittayapairoch
Queen Sirikit National Institute of Child Health
Outcome results
None listed