Comparison of Caudal Block Combined With General Anesthesia and Penile Block and Intravenous Fentanyl in Pediatric Surgeries

Miray Gözde Özdemir

Status: Not yet enrolling

Conditions: Caudal Block; Fentanyl; Pediatric Delirium; Analgesia; Pediatric Urologic Surgeries

Treatments: Procedure: Group 2 (Penile block and IV Fentanyl group); Procedure: Group 1 ( Caudal block group )

Study type: Interventional

Funder types: Other

Identifiers

NCT06862271

102

Details and patient eligibility

About

Urogenital surgery is one of the most frequently performed surgical procedures in the pediatric patient population. There is no consensus on which analgesic method is most effective for pain control in these patients. In clinical practice, if there are no contraindications, caudal block or penile block combined with intravenous fentanyl can be preferred as an analgesic method.

In this study, the results of these two analgesia methods will be compared with the research.Randomly selected participants will be compared by looking at parameters such as postoperative questionnaire results, walking time and urination time.

Enrollment: 120 estimated patients

Sex: Male

Ages: 4 months to 12 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 4 months - 12 years old male patient
• Acceptance of participation in the study
• Patients Planned for Urogenital Surgery
• ASA I-II Patients

Exclusion criteria

• <4 months, >12 years male patient
• Female patient
• Not accepted to be included in the study
• ASA status III-IV
• History of bleeding disorder
• Spinal cord disease
• Obstructive sleep apnea
• Developmental delay
• Behavioral disorder
• Allergy to any drug in the protocol

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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120 participants in 2 patient groups

Group 1 ( Caudal block group )

Active Comparator group

Description:

In the caudal block group, after the induction of caudal block with investigations, 0.2% bupivacaine will be applied to the epidural space in a volume of 0.8 mL/kg and a maximum of 20 mL will be injected into the epidural space and the surgical incision will be made at the 15th minute.

Treatment:

Procedure: Group 1 ( Caudal block group )

Group 2 (Penile block and IV Fentanyl group)

Active Comparator group

Description:

In the penile block and IV fentanyl group, 1 µg/kg fentanyl will be administered by the investigations and 5 minutes later, penile block will be performed using 0.25% bupivacaine at a dose of 0.2 mL/kg.

Treatment:

Procedure: Group 2 (Penile block and IV Fentanyl group)