Decreasing the Invasiveness of Ultrasound Guided Caudal Block: A Randomized Controlled Trial Comparing Between 22-gauge and 27-guage Needles
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anesthesia
- Sponsor
- University of Jordan
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Peri-operative complications
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Ultrasound (US) has facilitated the use of caudal block in children and visualization of the needle during insertion. This prospective clinical trial study compares between two different sizes of the used needles, in terms of success rate, number of punctures, detection of the US signs (visualization of the needle, dural displacement, turbulence, and distention), and complications in pediatrics aging between 6-36 months requiring elective lower abdominal and perineal surgeries.
Detailed Description
Ultrasound (US) has facilitated the use of caudal block in children, allowing an initial assessment of the anatomy of the sacrum, including the relationship of the sacral hiatus to the dural sac ending. Real-time US allows visualization of the needle during insertion to reach the dural sac, and to see the turbulence and distention of the layers during injection of the local anesthetic drug. This prospective clinical trial study compares between two different sizes of the used needles, in terms of success rate, number of punctures, detection of the US signs (visualization of the needle, dural displacement, turbulence, and distention), and complications in pediatrics aging between 6-36 months requiring elective lower abdominal and perineal surgeries.
Investigators
omar ahmad ababneh
Principal investigator
University of Jordan
Eligibility Criteria
Inclusion Criteria
- •Age between 6 months and 36 months
- •Undergoing elective lower abdominal or perineal surgeries
Exclusion Criteria
- •Refusal of the legal guardian of the patient.
- •Patients aging less than 6 months, or older than 36 months.
- •Emergency surgeries.
- •Coagulopathy.
- •infection at the site of procedure.
- •Uncorrected hypovolemia.
- •Increased intracranial pressure.
- •Congenital anomalies at the site of procedure.
Outcomes
Primary Outcomes
Peri-operative complications
Time Frame: 210 minutes
Peri-operative complications related to the caudal block procedure will be documented from the start of the procedure till the discharge from the post-anesthesia care unit.
Opioids requirements intraoperatively
Time Frame: 90 minutes
The investigators will document the required dose of opioids intraoperatively
Pain score in the post-anesthesia care unit (PACU)
Time Frame: 120 minutes
Pain score will be assessed regularly during the stay in the PACU using a pain scoring scale, where the score is interpreted from 0 to 10, in which 0 means no pain and 10 signifies very severe pain.