A COMPARITIVE TRIAL OF ULTRASOUND GUIDED VERSUS CONVENTIONAL INJECTION FOR CAUDAL BLOCK IN CHILDREN UNDERGOING INFRA UMBILICAL SURGERIES

Completed

Conditions: Diseases of the genitourinary system,

Registration Number: CTRI/2019/02/017421

Lead Sponsor: Sri Ramachandra University

Brief Summary: Â· Regional anaesthetic techniques are known to reduce the post-operative morbidity, provide early mobilisation and reduce opioid requirements. Caudal epidural block is a widely used regional anaesthetic technique especially in paediatric surgery to provide intraoperative and post-operative analgesia in surgeries below umbilical level(T10-S5 dermatomes). Conventional single shot caudal block technique involves the risk of dural or vascular puncture, intra osseous injection, soft tissue bulging and systemic toxicity. Many anatomic variations have been reported for sacral hiatus and sacral cornua. Therefore, success rate of classic caudal epidural technique has been reported to be about 75%. Ultrasonography is helpful for visualisation of the sacral hiatus, sacrococcygeal ligament, duramater, epidural space and distribution of local anaesthetic agent within the epidural space therefore significantly increases the block success rate. Indian data on caudal epidural block has been scarce and world over, the number of studies on ultrasound guided caudal epidural block is minimal. Hence we wish to conduct a randomised control study comparing ultrasound guided caudal block versus conventional caudal block in children undergoing elective infraumbilical surgeries. The primary outcome would be the first puncture success rate comparing both the arms. Other outcomes such as block performing time, success of the block and complications would also be assessed. The study would be conducted over a period of 6 months in the department of anaesthesia at a tertiary care centre hospital in southern India.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 106

Inclusion Criteria

patients undergoing elective infra-umbilical surgeries with ASA physical status I and II.

Exclusion Criteria

ASA physical status III and above Emergency surgeries Infection at the site of caudal injection Sacral bone abnormalities Bleeding disorders Allergy to local anaesthetics.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
First puncture success rate	Reaching sacral canal or sacral hiatus with a single needle orientation on 1st puncture without withdrawal from skin.

Secondary Outcome Measures

Name	Time	Method
Block performing time	Time from needle insertion to termination of local anaesthetic administration
Successful block	Defined as absence of limb movements and no increase in heart rate or mean arterial pressure above 15% from baseline on skin incision
Complications(if any)	Vascular puncture, subcutaneous tissue bulging,Dural puncture and local anaesthetic toxicity

Trial Locations

Locations (1): Sri Ramachandra University
🇮🇳
Chennai, TAMIL NADU, India
Sri Ramachandra University
🇮🇳Chennai, TAMIL NADU, India
Navya Sri Lalitha
Principal investigator
8106157890
navya.kollipara@gmail.com