Caudal Versus Rectus Sheath Study
Status: | Terminated |
---|---|
Healthy: | No |
Age Range: | Any |
Updated: | 12/21/2017 |
Start Date: | August 2011 |
End Date: | September 2016 |
A Prospective, Double-blinded, Randomized Comparison of Caudal Analgesia Versus Ultrasound Guided Rectus Sheath Blocks for Umbilical Herniorrhaphy in the Pediatric Population
The literature has clearly demonstrated that the effective treatment of postoperative pain in
infants and children is challenging. In an effort to improve postoperative analgesia while
limiting opioid-related adverse effects, there continues to be an increased use of regional
anesthetic techniques in infants and children. Although the pediatric caudal remains the most
commonly used pediatric regional anesthetic technique, it has been demonstrated that
effective analgesia can be provided with the use of peripheral nerve blockade even in the
pediatric-aged patient. The purpose of this study is to prospectively compare post-operative
pain relief in pediatric patients undergoing umbilical hernia repair who have received either
a caudal block or bilateral rectus sheath blocks for analgesia
infants and children is challenging. In an effort to improve postoperative analgesia while
limiting opioid-related adverse effects, there continues to be an increased use of regional
anesthetic techniques in infants and children. Although the pediatric caudal remains the most
commonly used pediatric regional anesthetic technique, it has been demonstrated that
effective analgesia can be provided with the use of peripheral nerve blockade even in the
pediatric-aged patient. The purpose of this study is to prospectively compare post-operative
pain relief in pediatric patients undergoing umbilical hernia repair who have received either
a caudal block or bilateral rectus sheath blocks for analgesia
Inclusion Criteria:
- ASA physical status I or II
- Weight less than or equal to 20 kg
- Presenting for repair of umbilical hernia
Exclusion Criteria:
- ASA physical status > II
- Weight greater than 20 kg
- Co-morbid diseases (cardiac, pulmonary, neurological disease)
- Patients having concomitant procedures (circumcision, orchiopexy, etc.)
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