Comparison of Regional Block, Caudal Block and Wound Infiltration for Post-operative Pain Management in Children Undergoing Inguinal Herniotomy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Postoperative pain intensity
研究概览
简要总结
Background: Although Inguinal herniotomy in children is taken as a day care procedure, post-operative pain management still remain controversial in these cases and superiority of wound infiltration, caudal block or regional block over each isn't known.
Objective: The objective of the study was compare regional block, caudal block and wound infiltration for post-operative pain management in children undergoing inguinal herniotomy
详细描述
Three hundred patients rom the department of pediatric surgery, KEMU/Mayo Hospital, were randomized in three study groups by a computer generated table. Regional block group (Group A), wound infiltration group (Group B), caudal block group (Group C). . Patients were assessed for postoperative pain intensity using FLACC pain scale at 0, 1, 2, 4, 8, 24 hours after surgery in children less than 8 years of age. Wong-Baker Faces pain Scale at 0, 1, 2, 4, 8, 24 hours after surgery in children more than 8 years of age. Patients were discharged after 24 hours. If pain score ≥ 4 was given intravenously, Ketoralac. Urinary retention was observed after 24 hours, wound infection was observed after 7 days.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 3 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Both Male and female inguinal hernia patients
- •Patients from 3-12 years age
排除标准
- •History of allergy to any drugs used in study documented on history .Infection at the site of regional, caudal or local infiltration, documented on clinical examination.
- •.Irreducible, obstructed or strangulated hernia, documented on clinical examination.
研究组 & 干预措施
Group B
In group B 0.25% bupivacaine 0.5ml/Kg was infiltrated at the surgical site.
干预措施: Caudal block (Procedure)
Group B
In group B 0.25% bupivacaine 0.5ml/Kg was infiltrated at the surgical site.
干预措施: Epidural (Procedure)
Group C
In group C 0.25% Bupivacaine 1ml /kg was given into epidural space at L4-L5 or L5-S1.
干预措施: regional block (Procedure)
Group C
In group C 0.25% Bupivacaine 1ml /kg was given into epidural space at L4-L5 or L5-S1.
干预措施: Caudal block (Procedure)
Group C
In group C 0.25% Bupivacaine 1ml /kg was given into epidural space at L4-L5 or L5-S1.
干预措施: Epidural (Procedure)
Group A
In group A, iliohypogastric and ilioinguinal nerves were blocked by using 0.25% bupivacaine 2ml/kg of combined with skin infiltration of adrenaline 1:200 000.
干预措施: regional block (Procedure)
Group A
In group A, iliohypogastric and ilioinguinal nerves were blocked by using 0.25% bupivacaine 2ml/kg of combined with skin infiltration of adrenaline 1:200 000.
干预措施: Caudal block (Procedure)
Group A
In group A, iliohypogastric and ilioinguinal nerves were blocked by using 0.25% bupivacaine 2ml/kg of combined with skin infiltration of adrenaline 1:200 000.
干预措施: Epidural (Procedure)
Group B
In group B 0.25% bupivacaine 0.5ml/Kg was infiltrated at the surgical site.
干预措施: regional block (Procedure)
结局指标
主要结局
Postoperative pain intensity
时间窗: 24 hours
Patients were assessed for postoperative pain intensity using FLACC pain scale at 0, 1, 2, 4, 8, 24 hours after surgery in children less than 8 years of age. Wong-Baker Faces pain Scale at 0, 1, 2, 4, 8, 24 hours after surgery in children more than 8 years of age.
次要结局
未报告次要终点
研究者
Muhammad Sharif
PROFESSOR
King Edward Medical University