Safety and Analgesic Efficacy of Spinal Versus Caudal Block in Pediatric Infra-umbilical Surgery
Description:
The historic view that young children neither respond to, nor remember, painful experiences
to the same degree as adults is no longer thought to be true. About 40% of pediatric surgical
patients experienced moderate or severe postoperative pain and 75% had insufficient
analgesia.
-Pediatric acute pain services use techniques of concurrent or co-analgesia based on four
classes of analgesics, namely local anesthetics, opioids, non-steroidal anti-inflammatory
drugs (NSAIDs), and acetaminophen (paracetamol).
Caudal analgesia along with general anesthesia is a very popular regional technique for
prolonged postoperative analgesia in different pediatric surgical procedures where the
surgical site is sub-umbilical. Caudal anesthetics usually provide analgesia for
approximately 4-6 hours.
Recently, the use of spinal anesthesia in infants and children requiring surgeries of
sub-umbilical region is gaining considerable popularity worldwide.
– The ease of performance and the safety regarding cardio-respiratory functions makes spinal
anesthesia as an alternative to general anesthesia in infants and children undergoing
surgeries of sub-umbilical regions.
Condition:
Pain, Postoperative
Treatment:
Intrathecal hyperbaric bupivacaine 0.25mg/kg 0.5%
Start Date:
November 2016
Sponsor:
Assiut University
For More Information:
https://clinicaltrials.gov/show/NCT02988700