Comparison of Postoperative Analgesic Efficacy of Caudal Block Versus Spinal Block With Levobupivacaine for Inguinal Hernia in Children

• Status: Completed
• Trial end date: 2021-10-15
• Target enrollment: 0
• Participant gender: All

Summary

Neuraxial analgesia may improve postoperative outcomes for high-risk children who are susceptible to respiratory complications (e.g. post-operative apnea). The use of spinal anesthesia in infants and children requiring surgeries of the sub-umbilical regions is gaining considerable popularity worldwide. 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. Bupivacaine has been thoroughly studied, and a large global experience exists.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Assiut University
• Treatments: Levobupivacaine

Criteria

Inclusion Criteria:

• Age: 2-10 years.

• Weight: 15-40 kg.

• Sex: both males and females.

• ASA physical status: 1-II.

• Operation: surgery below the umbilicus.

Exclusion Criteria:

• Allergic reaction to local anesthetics (LAs).

• Local or systemic infection (risk of meningitis).

• Intracranial hypertension.

• Hydrocephalus.

• Intracranial hemorrhage.

• Coagulopathy.

• Hypovolemia.

• Parental refusal.

• Spinal deformities, such as spina bifida or myelomeningocele.

• Presence of a ventriculoperitoneal shunt because of a risk of shunt infection or dural leak.