RecruitingACTRN12615000708550

Analgesic efficacy of paravertebral dexmedetomidine in children undergoing renal surgery

In children undergoing renal surgery, does paravertebral dexmedetomidine added to bupivacaine, compared to paravertebral bupivacaine only, reduce postoperative opioid consumption?


Sponsor

diab fuad hetta

Enrollment

80 participants

Start Date

Sep 1, 2015

Study Type

Interventional

Conditions

Summary

Evaluation of postoperative analgesic efficacy of paravertebral dexmedetomidine when added to bupivacaine in pediatric patients undergoing renal surgery


Eligibility

Sex: Both males and femalesMin Age: 3 YearssMax Age: 12 Yearss

Plain Language Summary

Simplified for easier understanding

This study is testing whether adding dexmedetomidine (a sedative and pain medication) to the standard local anaesthetic used for a nerve block (paravertebral block) during kidney surgery in children improves post-operative pain control and reduces the need for additional pain medicines after the operation. You may be eligible if: - Your child is between 3 and 12 years old - Your child is having kidney surgery - Your child has ASA physical status I, II, or III (relatively healthy to moderately unwell) You may NOT be eligible if: - There is a reason not to do the nerve block (e.g., infection at the injection site, a blood clotting problem, or spinal abnormalities) - Your child is allergic to any of the drugs used in the study Talk to your doctor about whether this trial might be right for you.

This is a simplified summary. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

After induction of anesthesia and before skin incision, for group PD, with the patient in the lateral decubitus position and the operated side facing upwards. Needle insertion will be made at an eas

After induction of anesthesia and before skin incision, for group PD, with the patient in the lateral decubitus position and the operated side facing upwards. Needle insertion will be made at an easily palpated single low thoracic level (Th10–12) lateral to the spinal process. The distance from the midline will be (approximating the distance between the patient’s two adjacent spinous processes). A 22 G Tuohy needle will be inserted perpendicularly to the skin in all planes until contact with the transverse process. The needle will be then advanced under or over the transverse process and after piercing the costo-transverse ligament, the paravertebral space was identified by loss of resistance to air. After careful aspiration, a single bolus dose of 0.5 ml / kg of Bupivacaine 0.25% and 1.5 mic /kg dexmedetomidine will be injected.


Locations(1)

Egypt

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ACTRN12615000708550