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Comparison of Caudal Block Combined With General Anesthesia and Penile Block and Intravenous Fentanyl in Pediatric Surgeries
Sponsor: Miray Gözde Özdemir
Summary
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.
Official title: Comparison of Postoperative Analgesia, Delirium, and Parental Satisfaction Between Caudal Block Combined With General Anesthesia and Penile Block and Intravenous Fentanyl in Pediatric Urogenital Surgeries
Key Details
Gender
MALE
Age Range
4 Months - 12 Years
Study Type
INTERVENTIONAL
Enrollment
120
Start Date
2025-04-01
Completion Date
2025-07-15
Last Updated
2025-03-11
Healthy Volunteers
Yes
Interventions
Group 1 ( Caudal block group )
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. For participants after surgery, Pediatric Anesthesia Emergence Delirium (PAED), Face Leg Activity Cry Consolability (FLACC) scales will be recorded, and for parental satisfaction, the LIKERT scale will be used. In addition, the child's walking time, first urination time, and need for additional painkillers will be questioned and recorded.
Group 2 (Penile block and IV Fentanyl group)
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. For participants after surgery, Pediatric Anesthesia Emergence Delirium (PAED), Face Leg Activity Cry Consolability (FLACC) scales will be recorded, and for parental satisfaction, the LIKERT scale will be used. In addition, the child's walking time, first urination time, and need for additional painkillers will be questioned and recorded.
Locations (1)
Ankara Etlik City Hospital
Yenimahalle, Ankara, Turkey (Türkiye)