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Caudal Epidural Catheterization in Pediatric Renal Transplant: Effect on Hemodynamics and Pain After Surgery

Cairo University (CU) logo

Cairo University (CU)

Status

Completed

Conditions

Renal Failure

Treatments

Drug: Bupivacaine
Device: B-Braun, Perifix® ONE Paed, Germany
Drug: Propofol
Drug: Pethidine
Drug: Fentanyl

Study type

Interventional

Funder types

Other

Identifiers

NCT02037802
SMS2014-1

Details and patient eligibility

About

pain control in pediatric renal transplant is a major concern. the main goal during anesthesia of renal transplant in pediatrics is to maintain hemodynamics in a range close to that of the adult donor. epidural analgesia is thought to be very effective in pain control. this study emphasises the ease of application of epidural catheter via the caudal route to the lower thoracic level; avoiding possible complications that may arise from lumbar or thoracic routes, and its effects on hemodynamics when using analgesic doses of local anesthetics and narcotics.

Enrollment

60 patients

Sex

All

Ages

3 to 12 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • 3-12 years
  • end stage renal disease
  • no known allergy to bupivacaine
  • both sexes

Exclusion criteria

  • known allergy to bupivacaine
  • inflammation at caudal area
  • spinal cord deformity

Trial design

60 participants in 2 patient groups

caudal epidural catheterization group
Active Comparator group
Description:
30 patients received continuous intra and post-operative caudal epidural infusion of bupivacaine 0.125% with fentanyl (2 microgram/ml) over 24 hours
Treatment:
Drug: Bupivacaine
Drug: Propofol
Drug: Fentanyl
Drug: Pethidine
Device: B-Braun, Perifix® ONE Paed, Germany
control group
Sham Comparator group
Description:
30 patients didn't receive caudal epidural analgesia
Treatment:
Drug: Propofol
Drug: Fentanyl
Drug: Pethidine

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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