Comparison Between the Caudal Block and Other Methods of Postoperative Pain Relief in Children Undergoing Circumcision (paincontrol)

Salmaniya Medical Complex

Status: Completed

Conditions: Pain, Acute; Pain, Postoperative; Analgesia

Treatments: Procedure: Dorsal Penile Nerve Block DPNB; Drug: Systemic opioids; Procedure: caudal block

Study type: Observational

Funder types: Other

Identifiers

NCT06086106

70130623

Details and patient eligibility

About

Prospective, randomized, case-controlled trial study. Observation post-operatively:

Aims: This study aimed to compare the effectiveness of the caudal block CB with other methods of postoperative pain release.

Full description

a study Sample size: all patients, for a total of 90 boys going for circumcision surgery. I was recruited over the course of four months, starting on 1 May 2023. The patients will be divided into three groups: A caudal block(CB), B systemic opioids, and C dorsal penile block (DPNB) Techniques used in pediatric surgeries to provide analgesia for penile surgery such as circumcision. All patients had operations and were observed, and the three groups were compared based on hemodynamic stability, pain scores, duration of sedation, analgesia need, and parental satisfaction. where the Face, Leg, Activity, and Cry Consolability (FLACC) pain scale and behaviors were used to observe and compare the three groups. Pain scores were recorded by separate anesthesiologists or nurses in the post-anesthesia care unit. All statistical work will be carried out using Spss version 27 (Spss Inc., Chicago, USA) and Prism GraphPad version 9.4.1 (GraphPad, San Diego, USA) The categorical and numerical variables and demographic data of three groups were collected and reviewed by two authors. the study has shown that the caudal block produces higher levels of analgesia and a longer period of pain release than the penile block, even if both methods help relieve pain during pediatric surgical procedures.

Enrollment: 90 patients

Sex: Male

Ages: 3 months to 3 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologists Physical Status classification one
• aged from three months up to three years

Exclusion criteria

• allergic to local anesthetics,
• bleeding diatheses,
• coagulopathy,
• infection at the injection site,

Trial design

90 participants in 1 patient group

group B systemic opioids for pain relive

Description:

systemic opioids belong to a class of analgesics, they act by attaching to opioid receptors in the brain and spinal cord. For relief of pain, they are frequently utilized in a variety of surgical procedures and can be given intravenously, and in intramuscular injections. Although opioids are considered highly effective in pain control, they can lead to several adverse effects, such as nausea, vertigo, and respiratory depression, some of which can be dangerous.

Treatment:

Drug: Systemic opioids

Procedure: caudal block

Procedure: Dorsal Penile Nerve Block DPNB