Caudal Block With Bupivacaine and Dexmedetomidine Versus TAP Block With Bupivacaine Alone for Postoperative Analgesia in Pediatric Undergoing Infraumbical Surgeries

Sohag University

Status and phase: Enrolling; Phase 2

Conditions: Postoperative Pain

Treatments: Procedure: TAP; Drug: Dexmedetomidine; Drug: Bupivacain; Procedure: caudal block

Study type: Interventional

Funder types: Other

Identifiers

NCT06183073

2009

Details and patient eligibility

About

Acute pain management for pediatric surgical patients intraoperatively and postoperatively is important for their comfort and psychological impact. Children aged 3-9 years old are included in the study and are divided randomly into two groups (45 children in each):

Group D: Caudal block with bupivacaine 0.25% in a dose of (1 ml / kg) and dexmedetomidine 1μg/ kg.

Group T: TAP block with bupivacaine 0.25% in a dose of (0.5 ml / kg).

Enrollment: 90 estimated patients

Sex: All

Ages: 3 to 9 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Children aged 3-9 years old
• Physical status I and II class of the American Society of Anesthesiologists (ASA)
• Unilateral elective surgeries below the umbilicus

Exclusion criteria

• Parents or legal guardian refusal.
• History of developmental delay or mental retardation
• Contraindications to regional anesthesia as known or suspected coagulopathy, a known allergy to any of the study drugs, signs of infection at the site of caudal block.
• Hemodynamic unstable patient.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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90 participants in 2 patient groups

Caudal block with bupivacaine and dexmedetomidine

Active Comparator group

Description:

Caudal block with bupivacaine 0.25% in a dose of (1 ml / kg) and dexmedetomidine 1μg/ kg.

Treatment:

Procedure: caudal block

Drug: Bupivacain

Drug: Dexmedetomidine

TAP block with bupivacaine

Active Comparator group

Description:

TAP block with bupivacaine 0.25% in a dose of (0.5 ml / kg).

Treatment:

Drug: Bupivacain

Procedure: TAP