To assess the effectiveness of adding Dexmedetomidine (a drug) to Ropivacaine (a local anaesthetic drug),compared to Ropivacaine alone, for pain relief in pediatric surgeries below the umbilicus.

Not yet recruiting

Brief Summary: This study is a unicentric observational study to compare the effectiveness of Dexmedetomidine with Ropivacaine and Ropivacaine alone, for caudal epidural analgesia in 68 children of 2-6years of age, belonging to ASA class 1and 2, undergoing elective infraumbilical surgery of less than 1hour duration, to be conducted in a tertiary care center in Kerala. The primary outcome will be duration of analgesia. The secondary outcomes will include duration of sedation, emergence time and duration of motor block.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Known allergy to the study drugs 2.
Suspected coagulopathy 3.
Infection at the site of block 4.
History of developmental delay, neurological disease, skeletal deformities, cardiovascular diseases.

Primary Outcome Measures

Name	Time	Method
Duration of analgesia assessed by Modified Objective Pain Score greater than 4	10minute interval for first half an hour and then at 1,2,4,6,8,12,18,24 hours

Secondary Outcome Measures

Name	Time	Method
Emergence time	Time from end of surgery to opening of eyes spontaneously or on calling.
Duration of motor block	From time of block to time of spontaneous leg movements
Sedation using Simple sedation score	10minute interval for first half an hour and then at 1,2,4,6,8,12,18,24 hours
Heart rate, Mean Arterial Pressure, Respiratory rate, SpO2	Intraoperatively, every 5minutes for the 1st half an hour and then at 10minute intervals.

Locations (1): Pushpagiri Institute of Medical Sciences and Research Center, Thiruvalla
🇮🇳
Pathanamthitta, KERALA, India
Pushpagiri Institute of Medical Sciences and Research Center, Thiruvalla
🇮🇳Pathanamthitta, KERALA, India
Dr Alvi Vinod
Principal investigator
8281377694
alvivinod123@gmail.com