Comparison of ultrasound versus landmark-guided caudal block in neonates and infants: A randomized controlled study
Overview
- Phase
- Phase 4
- Status
- Not yet recruiting
- Sponsor
- Medical college baroda department of anaesthesia india gujrat
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- 1.1st Attempt success rate
Overview
Brief Summary
The aim of our study is compare the first attempt success rate and efficacy of ultrasound versus landmark guided caudal block.80 patients belonging to age group <= 1 year with ASA II or III are randomly selected into two groups.In group US ultrasound guided caudal block given to neonates and infants and in group LB landmark guided caudal block given to neaonates and infants. The primary objective is to compare the first attempt success rate in both group.Block performance time, number of needle puncture,tachycardia on putting incision, duration if post operative analgesia,complication of block are the secondary parameters and also noted in both the groups. The proposed advantage of our study is first attempt success rate is higher in ultrasound guided caudal block.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
Eligibility Criteria
- Ages
- 1.00 Day(s) to 1.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Patients undergoing posted for elective or emergency lower abdominal surgery like non-obstructed inguinal hernia, anoplasty, colostomy, circumcision etc.
- •Term neonates and age £ 1 year
- •Patients conformed to American Society of Anaesthesiologists (ASA) physical status -II-III in preoperative assessment
- •Ability to follow the study protocol by parents.
Exclusion Criteria
- •Neonates with upper/midgut obstruction 2) Coagulation abnormalities 3) Sacral anomalies 4) Long-duration surgeries with major fluid shifts 5) Neuromuscular or metabolic disorders 6) Systemic infection 7) Meningitis 8) Local infection at the site of puncture 9) Raised intra-cranial tension.
Outcomes
Primary Outcomes
1.1st Attempt success rate
Time Frame: At basline
Secondary Outcomes
- 1. Time to perform the block(2. Number of needle punctures required for successful block)
Investigators
Dr Jayanam patel
Government medical college,baroda