Postoperative pain after Tendon Surgery in Paediatric Foot and Ankle Postoperative pain Paediatric surgery Paediatric foot and ankle surgery Paediatric tendon surgery Local infiltration Peripheral nerve block
Conditions
Interventions
performed before the surgical procedure started,
by one anesthesiologist,
using ultrasound-
guided popliteal-
sciatic nerve block. Twenty-
two gauge,
cm insulated needles were used with sterile saline by loss-
resistance technique,
then 0.5 ml/kg of 0.25% bupivacaine was given via the catheter,
monitoring by real-
time imaging that there was no hypoechoic expanding from the intravenous injection,
and had sufficient perineurial infiltration,
not the nerve edema,
that represented the nerve injury.,performed before closing the surgical site,
with twenty-
four gauge,
2.5 cm needles,
using 0.5 ml/kg of 0.25% bupivacaine half divided for subcutaneous injection,
Sponsors
None
Eligibility
Sex/Gender
All
Age
1 Years to 15 Years
Inclusion criteria
Inclusion criteria: patients aged from 1-15 years old, who were scheduled for foot and ankle tendon surgery (i.e. tendoachilles lengthening, tibialis anterior transfer, tibialis posterior transfer, posteromedial release, and other combined tendon procedures)
Exclusion criteria
Exclusion criteria: 1. allergies to the drugs using in this study; Bupivacaine, Morphine, Paracetamol, Ibuprofen, or other types of NSAIDs 2. history of degenerative axonal diseases and bleeding disorders or anticoagulant therapy 3. patients who had skin infection at area of drug injection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain score 0, 2, 4, 6, 8, 10, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48- hour postoperatively CHEOPS, NRS | — |
Secondary
| Measure | Time frame |
|---|---|
| Number of Morphine consumption 0-6, 7-12, 13-24, 25-48 postoperative Doses | — |
Countries
Thailand
Contacts
Public ContactWitchuree Wejjakul
Orthopaedic Department, Siriraj Hospital Mahidol University
Outcome results
None listed