Ultrasound-Guided Versus Conventional Injection for Caudal Block
NCT ID: NCT03337191
Last Updated: 2017-11-09
Study Results
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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COMPLETED
NA
134 participants
INTERVENTIONAL
2016-01-01
2016-09-01
Brief Summary
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In conventional single-shot caudal block, the needle is inserted through the skin with a 60-80 degrees angle, until the sacrococcygeal ligament is passed through. Then the angle of the needle is decreased to 20-30 degrees and inserted further for an additional 2-3 mm, entering into the sacral canal.There is a risk of dural or vascular puncture when the needle is passing through sacral canal. Other complications are the soft tissue bulging, intraosseous injections and systemic toxicity.
Many anatomical variations have been reported for sacral hiatus and sacral cornua. Therefore, the success rate of the classic caudal epidural anesthesia method in pediatric patients has been reported to be about 75%.
With the usage of ultrasonography in regional anesthesia, many advantages have been reported. Ultrasonography is helpful for visualization of the sacral hiatus, sacrococcygeal ligament, duramater, epidural space and the distribution of the local anesthetic agent within the epidural space. Therefore, this significantly increases the block success.
The primary aim of this study was compare the success rate of ultrasound guided sacral hiatus injection and conventional sacral canal injection. Secondary objectives are; block performing time, number of needle puncture, success at first puncture and complication rate.
Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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ultrasound guided caudal block
Caudal block was performed by ultrasound guided with %0,125 levobupivacaine + 10 mq/kg morphine
Levobupivacaine
% 0,125 levobupivacaine
Morphine Sulfate
10 mq/kg morphine sulfate
Ultrasound
Ultrasound guided caudal block
conventional caudal block
Caudal block was performed by conventional method with %0,125 levobupivacaine + 10 mq/kg morphine
Levobupivacaine
% 0,125 levobupivacaine
Morphine Sulfate
10 mq/kg morphine sulfate
Interventions
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Levobupivacaine
% 0,125 levobupivacaine
Morphine Sulfate
10 mq/kg morphine sulfate
Ultrasound
Ultrasound guided caudal block
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* previous neurological or spinal disorder,
* coagulation anomaly
* allergy against local anesthetics
* local infection at block site or
* with a history of premature birth
5 Years
12 Years
MALE
No
Sponsors
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Ataturk University
OTHER
Responsible Party
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Ali Ahiskalioglu
Principal Investigator
Locations
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Ataturk University
Erzurum, , Turkey (Türkiye)
Countries
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References
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Dostbil A, Gursac Celik M, Aksoy M, Ahiskalioglu A, Celik EC, Alici HA, Ozbey I. The effects of different doses of caudal morphine with levobupivacaine on postoperative vomiting and quality of analgesia after circumcision. Anaesth Intensive Care. 2014 Mar;42(2):234-8. doi: 10.1177/0310057X1404200211.
Wang LZ, Hu XX, Zhang YF, Chang XY. A randomized comparison of caudal block by sacral hiatus injection under ultrasound guidance with traditional sacral canal injection in children. Paediatr Anaesth. 2013 May;23(5):395-400. doi: 10.1111/pan.12104. Epub 2012 Dec 29.
Other Identifiers
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Caudal Ataturk Uni
Identifier Type: -
Identifier Source: org_study_id