Could Peri-anal Block be Effective as Caudal Block in Trans-anal Pull-through Surgery ??.

Analgesia Clinical Trial

Official title:

Could Peri-anal Block be Effective as Caudal Block in Trans-anal Pull-through Surgery for Children With Hirschsprung Disease??. A Randomized Controlled Trial.

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04367818
• Other study ID #: CPABBEACB
• Status: Recruiting
• Phase: N/A
• Start date: June 30, 2021
• Est. completion date: August 1, 2022

Study information

• Verified date: August 2021
• Source: Assiut University
• Contact: Esam Abdalla, Professor
• Phone: 01009633737
• Email: esamel_deen[@]yahoo.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

IN pediatric patient population pain is considered one of the most misunderstood; under diagnosed and under treated medical problems. If left uncontrolled, pain may have a diverse effect on all aspects of life as it is only a sensory perception but also has emotional, cognitive and behavioral components.

Description:

Caudal anesthesia is one of the most commonly used regional anesthetic and analgesic technique in pediatric patient as it is an easy safe and reliable method that can be performed for both intraoperative and postoperative analgesia in patient undergoing lower abdominal and lower limb surgery. It can be used for upper abdominal surgery by increasing the volume of local anesthetic injected or through advancing a catheter.

Caudal anesthesia is a common practice given along with general anesthesia to decrease intraoperative inhalational anesthesia requirements, postoperative pain and emergence agitation.

So many patients are complaining from ano-rectal pathologies, these diseases are common in both sexes and all age groups. The spectrum of anorectal disorders ranges from benign and irritating (pruritus- ani) to potentially life-threatening (anorectal cancer) and the surgical intervention is performed mostly under general or regional anesthesia.

While general and regional anesthetics provide reliable anesthesia, they are often associated with nausea,vomiting, urinary retention and motor blockade of lower limbs. Moreover, repeated spinal or epidural punctures performed by inexperienced anesthesiologists often cause delays in the tight schedule of operations.

Several reports have described various forms of local anesthetic infiltration for ano- rectal surgery , hemorrhoidectomy,anal fistula or fissure surgeries or lateral sphincterotomy. Local peri-anal infiltration is a simple procedure that can be easily learned and performed by surgeon and this method allows the operation to begin almost immediately.

There are different types of local anesthesia like infiltration, nerve block, ring block field block. Considering anorectal surgeries, nerve bock mainly pudendal nerve along with infiltration anesthesia is used worldwide. Perianal block by local anesthetic infiltration is safe simple and effective for various anal operations with very high degree of acceptance and satisfaction among patients .it had been found to be associated with low pain score and postoperative complications and faster return to daily social activity.

Although there are studies on the use of caudal block and local infiltration of anesthetic agent for the surgical resolution of anorectal pathologies, there is no established protocol for comparing efficacy, postoperative pain, and satisfaction among pediatrics patient undergoing trans-anal pull through in congenital megacolon (Hirschsprung's disease).

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 60
• Est. completion date: August 1, 2022
• Est. primary completion date: June 1, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 3 Years to 10 Years

Eligibility

Inclusion Criteria:

• Patients of both sexes.

• Patients with age range 3 to 10 years old.

• Patients with ASA 1 , 2 classification.

Exclusion Criteria:

• Patient or parents refusal.

• Allergy to the study drugs.

• Suspect coagulopathy.

• Local infection at site of intervention.

• History of developmental delay.

• Neuromuscular disorders.

• Skeletal deformity.

Related Conditions & MeSH terms

• Analgesia

Intervention

Procedure:
• Peri-anal local anaesthetic infiltration
postoperative pain relieve, among pediatrics patient
• Caudal anaesthesia
Regional anaesthesia for postoperative pain relieve, among pediatrics patient

Locations

Country	Name	City	State
Egypt	Mohamed Salah Rashed	Assiut

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

Country where clinical trial is conducted

Egypt, 

References & Publications (8)

Anannamcharoen S, Cheeranont P, Boonya-usadon C. Local perianal nerve block versus spinal block for closed hemorrhoidectomy: a ramdomized controlled trial. J Med Assoc Thai. 2008 Dec;91(12):1862-6. — View Citation

de Beer DA, Thomas ML. Caudal additives in children--solutions or problems? Br J Anaesth. 2003 Apr;90(4):487-98. Review. — View Citation

Gabrielli F, Cioffi U, Chiarelli M, Guttadauro A, De Simone M. Hemorrhoidectomy with posterior perineal block: experience with 400 cases. Dis Colon Rectum. 2000 Jun;43(6):809-12. — View Citation

Gopal DV. Diseases of the rectum and anus: a clinical approach to common disorders. Clin Cornerstone. 2002;4(4):34-48. Review. — View Citation

Kaban OG, Yazicioglu D, Akkaya T, Sayin MM, Seker D, Gumus H. Spinal anaesthesia with hyperbaric prilocaine in day-case perianal surgery: randomised controlled trial. ScientificWorldJournal. 2014;2014:608372. doi: 10.1155/2014/608372. Epub 2014 Oct 14. — View Citation

Luck AJ, Hewett PJ. Ischiorectal fossa block decreases posthemorrhoidectomy pain: randomized, prospective, double-blind clinical trial. Dis Colon Rectum. 2000 Feb;43(2):142-5. — View Citation

Nyström PO, Derwinger K, Gerjy R. Local perianal block for anal surgery. Tech Coloproctol. 2004 Mar;8(1):23-6. — View Citation

Zhang Y, Bao Y, Li L, Shi D. The effect of different doses of chloroprocaine on saddle anesthesia in perianal surgery. Acta Cir Bras. 2014 Jan;29(1):66-70. doi: 10.1590/S0102-86502014000100010. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Post-operative pain relieve	Assessment of postoperative pain using FLACC scale and the time to first analgesia request.	24 hours
Secondary	Ramsay's sedation scale	Assessment of postoperative sedation using (Ramsay's sedation scale).	24 hours
Secondary	Postoperative motor power	Assessment of postoperative motor power.	24 hours
Secondary	Postoperative Complication	Assessment of postoperative Complication (nausea, vomiting, bradycardia with heart rate< 80 or hypotension as systolic blood pressure< {70+age in year *2}).	24 hours