Caudal Blockade and Electrocardiographic Changes

Senthil G. Krishna5 enrolled

Overview

Caudal epidural blockade is frequently used as an adjunct to general anesthesia in children for perioperative analgesia. Intravascular injection of local anesthetic is a known complication that can adversely affect the neurological and cardiovascular systems. This study will look at the delayed effects of a caudal epidural block on the electrical activity of the patient's myocardium by trying to characterize the incidence of ECG changes within 60 minutes after the caudal dose is given.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Regional Anesthesia Morbidity

Interventions

ElectrocardiogramDIAGNOSTIC_TEST

12-lead ECG will be obtained after induction and at 5, 10, 20, 30, and 60 minutes after the caudal epidural block.

Eligibility

Sex: ALLMax age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * ASA grade 1 or 2 * Receiving general anesthesia with a caudal block Exclusion Criteria: * Preexisting cardiac comorbidities

Locations (1)

Nationwide Children's Hospital

Columbus, Ohio, United States

Outcomes

Primary Outcomes

Change in T wave amplitude

Change in T wave amplitude on the ECG tracings

Time frame: Baseline to 60 mins. post caudal

Change in T wave width

Change in T wave width on the ECG tracings

Time frame: Baseline to 60 mins. post caudal

Data from ClinicalTrials.gov

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