Comparison of Caudal Block and Ultrasound Guided Ilioinguinal/Iliohypogastric Block for Bilateral Inguinal Surgery in Pediatric Patient: A Prospective Randomized Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 110
- 试验地点
- 2
- 主要终点
- Analgesic requirements
研究概览
简要总结
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
详细描述
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Double (Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 1 Year 至 10 Years(Child)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •1- 10 year- old who were scheduled to bilateral inguinal hernia surgery -
排除标准
- •Patients with neurological disoder, reoperation for inguinal hernia surgery, coagulation disorder
研究组 & 干预措施
Caudal block
Caudal block Marcaine
干预措施: inguinal hernia surgery (Procedure)
ilionguinal/iliohypogastric block
ilionguinal/iliohypogastric block Marcaine
干预措施: inguinal hernia surgery (Procedure)
结局指标
主要结局
Analgesic requirements
时间窗: up to 24 hours
FLACC score
次要结局
- Postoperative complications(up to 24 hours)
研究者
Ayse Cigdem Tutuncu
assoc prof
Istanbul University
