Hypospadias Postoperative pain Pediatric anesthesia Dexmedetomidine Bupivacaine Pudendal nerve block Hypospadias Postoperative analgesia Pediatric surgery Ultrasound guided nerve block
Conditions
Interventions
Pediatric patients receive ultrasound guided transperineal pudendal nerve block using bupivacaine for postoperative analgesia during hypospadias surgery.,Pediatric patients receive ultrasound guided
Active Comparator Procedure/Surgery,Experimental Procedure/Surgery
Bupivacaine pudendal block,Dexmedetomidine pudendal block
Sponsors
Queen Sirikit National Institute of Child Health
Eligibility
Sex/Gender
Male
Age
1 Years to 12 Years
Inclusion criteria
Inclusion criteria: 1 Male pediatric patients undergoing hypospadias surgery, 2 Age 1 to 12 years 3 ASA physical status I and II,4 Elective surgery under general anesthesia
Exclusion criteria
Exclusion criteria: 1 Allergy to bupivacaine or dexmedetomidine, 2 Clinically significant cardiovascular disorders, including severe bradycardia, atrioventricular (AV) block, or uncontrolled hypotension, 3 Coagulopathy or bleeding disorder, 4 Local infection at injection site, 5 Neurological disease, 6 Hepatic dysfunction, 7 Renal impairment, 8 Use of analgesic medications before surgery, 9 Administration of fentanyl within 30 minutes before the end of surgery, 10 Refusal by parents or guardians
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to first analgesia 0, 30, 60, 120 minutes, 4, 8, 12, 24 hours CHEOPS, Wong Baker FACES Pain Rating Scale | — |
Secondary
| Measure | Time frame |
|---|---|
| CHEOPS, Wong Baker FACES Pain Rating Scale 0, 30, 60, 120 minutes, 4, 8, 12, 24 hours CHEOPS, Wong Baker FACES Pain Rating Scale | — |
Countries
Thailand
Contacts
Public ContactPalita Pornwilaikun
Department of Anesthesiology, Queen Sirikit National Institute of Child Health
Outcome results
None listed