The Efficacy of Biplane Versus Single Plane Ultrasound in Facilitating Caudal Epidural Anesthesia in Pediatric Patients.

Launched by UNIVERSITY OF FLORIDA · Mar 13, 2024

Keywords

ClinConnect Summary

This clinical trial is studying how effective two different types of ultrasound—biplane and single-plane—are in helping doctors perform a specific type of pain relief called caudal epidural anesthesia in boys aged 4 months to 10 years who need elective circumcision. The main idea is that the biplane ultrasound might give doctors a better view of the area, which could make it easier to successfully place the anesthesia needle on the first try, reduce the time it takes to do the procedure, and help manage pain for a longer period after surgery.

To be eligible for this trial, boys must be between 4 months and 10 years old, generally healthy (classified as ASA I/II), and scheduled for circumcision using this anesthesia. However, some children may not qualify if they have certain medical conditions, issues with blood clotting, or if there’s a rash or infection where the injection will happen. Participating in this study could help improve pain management techniques for young patients in the future. If you have any questions or think your child might be a good fit, please talk to your healthcare provider.

Gender

MALE

Eligibility criteria

• Inclusion Criteria:
• • ASA I/II
• • Male patients aged 4 months to 10 years
• • To undergo elective circumcision with caudal epidural anesthesia as an adjuvant to general anesthesia and for postoperative analgesia
• Exclusion Criteria:
• • Anatomical anomalies (e.g., tethered cord, sacral malformations, etc.).
• • Potential coagulopathy.
• • Preoperative analgesics use.
• • Allergy to local anesthetics.
• • Rash or infection at the injection site.
• • Female patients
• • Parents refuse to participate.