Comparing the two methods of analgesia for assessing pain relief after surgery in children undergoing Hip/thigh surgeries.

Phase 3

Recruiting

Conditions: Medical and Surgical,

Registration Number: CTRI/2023/04/051707

Lead Sponsor: Sherlina Dolly E

Brief Summary: Early mobilization following hip surgeries in paediatric popoulation such as Developmental dysplasia of hip,perthes disease,septic arthritis sequelae of hip is associated with better clinical outcomes and reduction of postoperative complications such as pneumonia ,thrombo embolism ,pressure sores.Post operative analgesia techniques helps in early mobilization and physiotheraphy..Children underhip surgeries will be randomised in to Group A and Group B .Under anaesthesia a catheter will be placed under ultrasound guidance in a specified block location to accomplish a psoas subfascial block and a single dose superior gluteal nerve block ( GROUP A). The boluses will be administered via a preprogrammed intermittent bolus pump and principal investigator will evaluate post operative pain scores ,Bloodpressure,heartrate,SPO2. In GROUP B an Epidural catheter will be inserted after the induction of anaesthesia and postoperative pain will be treated by infusion of the medication in accordance with the standard protocol through the pump. Patients in both groups will have their pain score level measured both at rest and while moving around up to 3 days along with the measurement of Bloodpressure,Heartrate,SPO2, Motor blockade.

Detailed Description: Not available

Recruitment & Eligibility

Status: Open to Recruitment

Sex: All

Target Recruitment: 50

Inclusion Criteria

ASA 1, ASA 2, Stable ASA 3 children.

Exclusion Criteria

Age >18 years Uncontrolled systemic illness such as diabetes mellitus ,cardiac ailment Infection at the injection site Bleeding diasthesis Not willing to participate in the trial Allergic to local anaesthetics.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Incidence of hypotension between the two groups	Immediate post op \| 6 hrs post op \| Day 1 \| Day 2 \| Day 3

Secondary Outcome Measures

Name	Time	Method
Post operative analgesia using FLACC and CHEOPS Score	vascular injury

Trial Locations

Locations (1): Christian medical college,vellore
🇮🇳
Vellore, TAMIL NADU, India
Christian medical college,vellore
🇮🇳Vellore, TAMIL NADU, India
Sherlina Dolly E
Principal investigator
6382737189
sherlinadolly@rediffmail.com