Caudal Block Versus Ultrasound Guided Ilioinguinal/Iliohypogastric Block in Pediatric Patient

Not Applicable

Completed

• Conditions: Surgery
• Interventions: Procedure: inguinal hernia surgery

• Registration Number: NCT03258736
• Lead Sponsor: Istanbul University

Brief Summary

The caudal block is the most common technique for inguinal surgery. Increased use of ultrasound in regional analgesia techniques has been improved the practise of the peripheral nerve blocks. Ilioinguinal and iliohypogastric nerve blocks are possible to alternative methods to the central blocks. The aim of this study is to compare analgesic efficiency of caudal block and ultrasound guided Ilioinguinal and iliohypogastric nerve blocks for bilateral inguinal hernia in pediatric patients

Detailed Description

In this prospective randomized study, pediatric patients between 1- 10 years old who were scheduled to bilateral inguinal hernia surgery wil be enrolled the study. The patients wil randomly assign to receive an ultrasound-guided Ilioinguinal/iliohypogastric block group or caudal block group Ilioinguinal/iliohypogastric block was performed with 2 mg/kg bupivacaine as 0.25 % and total volum wil be divided equally for each side, Caudal block wil performe with bupivacaine 2 mg/kg as 0.2%. Supplemental analgesia will consist of as requred intraoperative remifentanyl, for recovery unit rescue tramadol, as requred at home ibuprofen. Patients wil be evaluated in the recovery unit for analgesia with FLACC pain scale, analgesic requirement, complications and parental satisfaction. Parents will be also called for analgesia and satisfaction after discharge of the patients in first 24 hours. The evaluation will be performed by a researcher whom does not know which participants belong to the caudal or ilioinguinal/iliohypogastric nerve block group

Study Timeline

• Status Verified: 2017-04
• Study Start: 2017-04-04
• Study First Submitted: 2017-08-20
• Study First Submitted QC: 2017-08-22
• Study First Posted: 2017-08-23
• Primary Completion: 2017-08-30
• Study Completion: 2017-08-30
• Last Update Submitted: 2017-11-14
• Last Update Posted: 2017-11-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 110

Inclusion Criteria

1- 10 year- old who were scheduled to bilateral inguinal hernia surgery -

Exclusion Criteria

Patients with neurological disoder, reoperation for inguinal hernia surgery, coagulation disorder

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Caudal block	inguinal hernia surgery	Caudal block Marcaine
ilionguinal/iliohypogastric block	inguinal hernia surgery	ilionguinal/iliohypogastric block Marcaine

Primary Outcome Measures

Name	Time	Method
Analgesic requirements	up to 24 hours	FLACC score

Secondary Outcome Measures

Name	Time	Method
Postoperative complications	up to 24 hours	Bromage scale

Trial Locations

Locations (1)

Cerrahpasa Medical Faculty; 🇹🇷 Istanbul, Cerrahpasa, Turkey