Comparision of analgesic efficacy of bupivacaine drug with and without an additive named dexmedetomidine in intervention of pudendal block in pediatric participants undergoing perineal procedures.

Not yet recruiting

• Conditions: Diseases of the genitourinary system,

• Registration Number: CTRI/2025/06/088744
• Lead Sponsor: Sri Ramachandra Institute of higher education and research

Brief Summary

Perioperative pain management in pediatric patients is essential for enhancing recovery and minimizing postoperative complications. Pudendal nerve block, a

regional anesthesia technique, is increasingly preferred for perineal surgeries as it provides targeted analgesia, reduces systemic opioid use, and minimizes complications associated with central neuraxial blocks, such as dural puncture, motor block, and urinary retention. Among local anesthetics, bupivacaine is widely used for its efficacy and prolonged action. However, the addition of adjuvants like

dexmedetomidine has shown promise in enhancing analgesia. in this study, we are comparing the efficacy of dexmeditomidine as an adjuvant to 0.25% bupivacaine.

Detailed Description

Not available

Study Timeline

• Study Start: 2025-06-24
• Last Update Posted: 2025-12-06

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

Age 6 months to 7 years ASA physical status I- II Scheduled to undergo elective perineal surgeries- circumcision, hypospadias, PUJ fulguration, chordee repair.

Exclusion Criteria

Parent refusal History of allergic reactions to local aesthetics Bleeding diathesis Rash or infection at the injection site Anatomical spinal abnormality Liver diseases.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Determine the effects of the intervention as duration of analgesia as first time to rescue analgesic	timeline assessed at baseline, every 5minutes till 90 minutes intraoperatively and till 24 hours post operatively.

Secondary Outcome Measures

Name	Time	Method
success of block	Quality of recovery score

Trial Locations

Locations (1)

Sri ramachandra institute of higher education and research; 🇮🇳 Chennai, TAMIL NADU, India

Sri ramachandra institute of higher education and research

🇮🇳Chennai, TAMIL NADU, India

NUNNA HANNAH MOUNIKA

Principal investigator

9493718157

c125hannah@gmail.com