Preemptive Analgesia in Children Using Caudal Epidural Ropivacaine
Stopped early · Not applicable
Conditions studied: Inguinal Herniorrhaphy, Orchiopexy
In brief
Caudal epidural analgesia (caudal block) is used in standard pediatric anesthesia practice. It has been shown to be effective in managing postoperative pain in children undergoing abdominal and infraumbilical surgery (Tobias et al 1994). Furthermore, studies have shown that children receiving caudal blocks have secondary benefits such as lower narcotic and anesthetic requirements, more rapid awakening from general anesthesia, decreased time to discharge home, and fewer pain-related behaviors postoperatively (Conroy et al 1993, Tobias et al 1995, Tobias 1996). This proposed study involves the use of a caudal block in children undergoing elective inguinal herniorrhaphy or orchiopexy to evaluate the role of preemptive analgesia in pediatric pain management. We hypothesize that by inhibiting peripheral pain receptors with a caudal block before the onset of a painful stimulus, we can decrease central nervous system sensitization and reduce postoperative analgesic requirements.
Key facts
- Study ID
- NCT00616577
- Run by
- Loma Linda University
- People needed
- 26
- Starts
- 2007-10-01
- Expected to finish
- 2010-09-01
- Last updated by the study team
- 2019-04-25
Who can join
Age: any, up to 2. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Age 2 years or younger.
- Weight 33 kg or less.
- Scheduled for elective inguinal herniorrhaphy or orchiopexy.
- American Society of Anesthesiologists Class 1, 2 or 3.
You may not qualify if…
- Age over 2 years.
- Weight over 33 kg.
- Allergy to ropivacaine.
- Usual contraindications to caudal anesthesia (patient refusal, skeletal or spinal cord anomaly, coagulopathy, infection at insertion site, ongoing bacteremia)
Where it is running
- Loma Linda University Medical Center — Loma Linda, California, United States
Full record on ClinicalTrials.gov
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