Effects Of Adjuvants to Caudal Anesthesia on Hemodynamics Measured By Electrical Cardiometry In Children

• Status: Completed
• Trial end date: 2018-01-15
• Target enrollment: 0
• Participant gender: All

Summary

Caudal epidural anesthesia is one of the most common regional techniques used for post-operative pain management in pediatric patients. In this study we are going to compare the effects of caudal bupivacaine , caudal Dexamethasone with bubivacaine and Dexmedetomidine with bupivacaine on the systemic vascular resistance and the cardiac output, in pediatric patients undergoing lower abdominal surgeries, by using the electrical cardiometry (EC).

• Phase: Phase 4
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: Kasr El Aini Hospital
• Treatments: Anesthetics; BB 1101; Bupivacaine; Dexamethasone; Dexamethasone acetate; Dexmedetomidine

Criteria

Inclusion Criteria:

1. Pediatric patients 1 - 7 years.

2. Both genders (male & female).

3. ASA I & ASA II patients.

4. Children scheduled for lower abdominal elective surgeries including genitourinary and perineal regions surgeries.

Exclusion Criteria:

1. Parents' refusal of regional block.

2. Patients requiring emergency procedures.

3. Bleeding disorders.

4. Skin lesions or wounds at site of proposed needle insertion.

5. Cutaneous anomalies (angioma, hair tuft, nevus or a dimple) near the puncture point requiring radiological examination (ultrasound, CT or MRI).

6. Progressive neurological disorders.

7. Patients with congenital heart disease.

8. Patients with Allergies to used drugs

9. Surgeries with large fluid shift or massive blood loss.