Association of Different Doses of Clonidine in Caudal Epidural Anesthesia for Hypospadias Surgery

NCT ID: NCT02769390

Last Updated: 2016-05-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-07-31

Study Completion Date

2015-11-30

Brief Summary

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The use of increasing doses of clonidine ssociated to bupivacaine in caudal epidural block provides better postoperative analgesia compared whit analgesia provide by bupivacaine alone

It is a randomized, double blind study, involving 80 children with ages from 1 to 10 years old, following eletive hypospadias surgery, under general anesthesia and caudal epidural block . The patients will be divided into 4 groups: bupivacaine alone, bupivacaine plus clonidine 1mcg/kg, bupivacaine plus clonidine 2 mcg/kg, bupivacaine plus clonidine 3 mg/kg. The peroperative consumption of anesthetics gases, heart rate and arterial blood pressure will be recorded. Postoperative pain will be evaluated by using FLACC scale ( faces , legs, activity , cry , consolability ) . Requiriments for supplementary postoperative analgesia at 24 h will be avaiable.

Detailed Description

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It is a randomized, double blind study, involving 80 children with ages from 1 to 10 years old, following eletive hypospadias surgery, under general anesthesia and caudal epidural block . The patients will be divided into 4 groups: bupivacaine alone, bupivacaine plus clonidine 1mcg/kg, bupivacaine plus clonidine 2 mcg/kg, bupivacaine plus clonidine 3 mg/kg. The peroperative consumption of anesthetics gases, heart rate and arterial blood pressure will be recorded. Postoperative pain will be evaluated by using FLACC scale ( faces , legs, activity, cry , consolability ) . Requiriments for supplementary postoperative analgesia at 24 h will be avaiable. Postoperative hemodynamics parameters will be recordes at 24 h.

Conditions

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Postoperative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Bupivacaine 0,166%

General Anesthesia associated with caudal anesthesia with Bupivacaine 0,166% for hypospadia surgery

Group Type NO_INTERVENTION

No interventions assigned to this group

Clonidine 1 mcg/Kg

IGeneral Anesthesia associated with caudal anesthesia with Bupivacaine 0,166% plus 1 mcg/ Kg of clonidine for hypospadia surgery

Group Type ACTIVE_COMPARATOR

Clonidine 1 mcg/Kg

Intervention Type DRUG

Clonidine 1 mcg/Kg associated with bupivacaine 0,166% 1 ml/Kg administred epidural caudal in children for hypospadias surgery

Clonidine 2 mcg/ Kg

IGeneral Anesthesia associated with caudal anesthesia with Bupivacaine 0,166% plus 2 mcg/ Kg of clonidine for hypospadia surgery

Group Type ACTIVE_COMPARATOR

Clonidine 2 mcg/ Kg

Intervention Type DRUG

Clonidine 2 mcg//Kg associated with bupivacaine 0,166% 1 ml/Kg administred epidural caudal in children for hypospadias surgery

Clonidine 3 mcg/Kg

General Anesthesia associated with caudal anesthesia with Bupivacaine 0,166% plus 3 mcg/ Kg of clonidine for hypospadia surgery

Group Type ACTIVE_COMPARATOR

Clonidine 3 mcg/ Kg

Intervention Type DRUG

Clonidine 3 mcg //Kg associated with bupivacaine 0,166% 1 ml/Kg administred epidural caudal in children for hypospadias surgery

Interventions

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Clonidine 1 mcg/Kg

Clonidine 1 mcg/Kg associated with bupivacaine 0,166% 1 ml/Kg administred epidural caudal in children for hypospadias surgery

Intervention Type DRUG

Clonidine 2 mcg/ Kg

Clonidine 2 mcg//Kg associated with bupivacaine 0,166% 1 ml/Kg administred epidural caudal in children for hypospadias surgery

Intervention Type DRUG

Clonidine 3 mcg/ Kg

Clonidine 3 mcg //Kg associated with bupivacaine 0,166% 1 ml/Kg administred epidural caudal in children for hypospadias surgery

Intervention Type DRUG

Other Intervention Names

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Atensine Atensine Atensine

Eligibility Criteria

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Inclusion Criteria

* CHildren 1 - 10 years old.
* ASA I E II ( American Society of Anesthesiology)
* hypospadias surgery

Exclusion Criteria

* parents refuse
* Infection
* Coagulation disorders
* Allergy to anesthetics
* Abnormalities of the sacral spine
Minimum Eligible Age

1 Year

Maximum Eligible Age

10 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Federal University of Minas Gerais

OTHER

Sponsor Role lead

Responsible Party

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Renato Santiago Gomez

PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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ana claudia mota bonisson, M

Role: PRINCIPAL_INVESTIGATOR

Hospital da Baleia - Fundação Benjamim Guimaraes

References

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Fernandes ML, Pires KC, Tiburcio MA, Gomez RS. Caudal bupivacaine supplemented with morphine or clonidine, or supplemented with morphine plus clonidine in children undergoing infra-umbilical urological and genital procedures: a prospective, randomized and double-blind study. J Anesth. 2012 Apr;26(2):213-8. doi: 10.1007/s00540-011-1297-y. Epub 2011 Dec 10.

Reference Type BACKGROUND
PMID: 22159880 (View on PubMed)

Mauch J, Weiss M. [Pediatric caudal anesthesia: importance and aspects of safety concerns]. Schmerz. 2012 Aug;26(4):443-53; quiz 454. doi: 10.1007/s00482-012-1202-0. German.

Reference Type BACKGROUND
PMID: 22855315 (View on PubMed)

Other Identifiers

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CAAE23332313600005149

Identifier Type: -

Identifier Source: org_study_id

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