Comparison of Post-surgery versus Pre-surgery caudal nerve block on surgical outcomes in children undergoing hypospadias surgery
Not Applicable
- Conditions
- Health Condition 1: O- Medical and Surgical
- Registration Number
- CTRI/2024/04/066219
- Lead Sponsor
- AIIMS Rishikesh, Uttrakhand
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
Male child:Aged 1-8 years
ASA I and II
children undergoing hypospadias repair surgery
Exclusion Criteria
skin infection or abscess at the side of caudal injection
parents disagreement / refusal to consent
patients having coagulopathy / on anticoagulants
known allergy to any local anaesthetics
children with neuromuscular disorders
spinal dysraphism(meningomyelocele/sacral dimples)
mental retardation/delayed development
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Overall incidence of the following surgical complications: Urethro-cutaneous fistula, Local skin necrosis, Wound infection, Hematoma, Glans dehiscence and urethral strictureTimepoint: Post operative: Day 5, Day 10, 1 month and 6 months <br/ ><br>
- Secondary Outcome Measures
Name Time Method Duration of post-operative analgesiaTimepoint: Post operative, the time to first rescue analgesic requirement at a FLACC score more than 5 or Visual Analogue Score corresponding to Numerical rating scale of more than 5 (in older children).;Intra-operative blood lossTimepoint: At the end of surgery;Intra-operative increase in penile volumeTimepoint: 0,10,15 & 30 minutes post induction of anesthesia;Surgery durationTimepoint: End of surgery;Surgery revision rate (requirement of re-surgery)Timepoint: Ascertained at 1 & 6 months post operative;Surgical stress response [blood glucose, by point of care glucometer]Timepoint: 0,30,60 & 90 minutes post induction