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ltrasound guided Caudal Blockade in children between 30 and 50kg: A Feasibility Study

Not Applicable
Conditions
Subumbilical Surgery
K40.0
Bilateral inguinal hernia, with obstruction, without gangrene
Registration Number
DRKS00005021
Lead Sponsor
Anästhesie, Allgemeine Intensivmedizin und Schmerztherapie
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
20
Inclusion Criteria

Children with a bodyweight between 30 and 50kg undergoing subumbillical operations

Exclusion Criteria

Coagulopathy or anticoagulation therapy,
suspicion of increased intracranial pressure,
known allergy or hypersensitivity against ropivacaine or amino-amide local
anaesthetics,
signs of infection in the sacral area

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Feasibility of caudal blockade in sedation for children between 30 and 50kg bodyweight.<br>Definition of successful block:<br>+ No movements of the lower extremities<br>+ No haemodynamic pain respone (heartrate increase >15% from basline)<br><br>
Secondary Outcome Measures
NameTimeMethod
+ Cranial spread of local anaesthetic within the spinal canal by real time ultrasound<br>+ Secondary spread of local anaesthetic via ultrasound <br>+ Postoperative level of the sensoric block via non-invasive and painless cold stimulation test )cool packs) every 30min until patient is discharged from the recovery room<br>+ Pharmacokinetic of ropivacaine in plasma (total concentration) is determined by gas chromatography-mass spectometry (GC-MS) at time 0, 15, 30, 45, 60 and 240 minutes after caudal blockade (ropivacain injection).<br>
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