Postoperative analgesia for paediatric patients

Phase 4

Completed

Conditions: Medical and Surgical,

Registration Number: CTRI/2025/03/082863

Lead Sponsor: Dr Sunil Chiruvella

Brief Summary: After a through preoperative evaluation, with children who comes under inclusion criteria will be premedicated. standard monitoring will be connected & monitored continuously throughout the surgery. after vascular access, patient administrated general anesthesia. post intubation, inhalational agent will be adjusted to maintain hemodynamic stability within 20% of baseline values, without other opioids or analgesia. following anaesthesia patients will be positioned & prepared for a caudal epidural block using ultrasound guided technique in group A patients, anatomical land mark technique in group B patients with local anesthetic administrated according to the armitage formula ( o.5ml/kg of 0.25% bupivacaine + dexmedetomidine 1mcg/kg). outcome variables will be measured for 24hours postoperatively.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 60

Inclusion Criteria

Children weighing less than 20 Kgs Children belonging to ASA I and II categories.

Exclusion Criteria

Children with suspected coagulopathy Children with infection at the site of caudal block Children with history of developmental delay and neurological diseases Children with skeletal deformities in the caudal region.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Duration of analgesia	Baseline, 2, 4, 6, 8, 12, 16,20, 24hours

Secondary Outcome Measures

Name	Time	Method
Total duration of analgesia	Number of punctures & time taken to perform to each block

Trial Locations

Locations (1): Government general hospital
🇮🇳
Cuddapah, ANDHRA PRADESH, India
Government general hospital
🇮🇳Cuddapah, ANDHRA PRADESH, India
Dr Sunkesula Sonia Begum
Principal investigator
08897573489
sonia.sunkesula@gmail.com