Spinal Versus Caudal Analgesia After Pediatric Infra-umbilical Surgery

• Status: Completed
• Trial end date: 2018-11-01
• Target enrollment: 0
• Participant gender: All

Summary

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.

• Phase: Phase 2/Phase 3
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Assiut University
• Treatments: Bupivacaine

Criteria

Inclusion Criteria:

• Age: 2-12 years.

• Weight: 15-40 kg.

• Sex: both males and females.

• ASA physical status: 1-II.

• Operation: surgery below umbilicus.

Exclusion Criteria:

• Allergic reaction to local anesthetics (LAs).

• Local or systemic infection (risk of meningitis).

• Coagulopathy.

• Intracranial hypertension.

• Hydrocephalus.

• Intracranial hemorrhage.

• Parental refusal.

• Hypovolemia.

• Spinal deformities, such as spina bifida or myelomeningocele.

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