The aim of this study was to compare the efficacy of a programmed intermittent bolus injection method compared to conventional continuous infusion in the management of epidural analgesia in pediatric patients correctional osteotomy. As a prospective double blinded randomized controlled trial, the investigators compare the quality of pain control after surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
QUADRUPLE
Enrollment
60
bolus administration of 0.15 ml of ropivacaine 0.15 ml / kg into epidural space every hour(intermittent bolus injection) using PCA device
Continuous infusion of 0.15% ropivacaine 0.15 ml / kg / h into the epidural space using PCA device using PCA device
Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institue, Yonsei Universiy College of Medicine
Seoul, South Korea
Difference in total amount of ropivacaine injected through epidural analgesia
The difference in the amount of ropivacaine injected into epidural space for 6 hours postoperatively
Time frame: 6 hours after surgery
Difference in total amount of ropivacaine injected through epidural analgesia
The difference in the amount of ropivacaine injected into epidural space for 12 hours postoperatively
Time frame: 12 hours after surgery
Difference in total amount of ropivacaine injected through epidural analgesia
The difference in the amount of ropivacaine injected into epidural space for 24 hours postoperatively
Time frame: 24 hours after surgery
Difference in total amount of ropivacaine injected through epidural analgesia
The difference in the amount of ropivacaine injected into epidural space for 36 hours postoperatively
Time frame: 36 hours after surgery
Difference in total amount of ropivacaine injected through epidural analgesia
The difference in the amount of ropivacaine injected into epidural space for 48 hours postoperatively
Time frame: 48 hours after surgery
The time for the first patient controlled rescue epidural bolus after surgery
Time frame: 48 hours after surgery
Number of patient-controlled rescue epidural bolus for 48 hours postoperatively
Time frame: 48 hours after surgery
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Pain scores for 6 hours after surgery (VAS)
VAS(visual analogue scale) :0(no paine)\~10(wort possible, unbearable, excruciating apin)
Time frame: 6 hours after surgery
Pain scores for 12 hours after surgery (VAS)
VAS(visual analogue scale) :0(no paine)\~10(wort possible, unbearable, excruciating apin)
Time frame: 12 hours after surgery
Pain scores for 24 hours after surgery (VAS)
VAS(visual analogue scale) :0(no paine)\~10(wort possible, unbearable, excruciating apin)
Time frame: 24 hours after surgery
Pain scores for 48 hours after surgery (VAS)
VAS(visual analogue scale) :0(no paine)\~10(wort possible, unbearable, excruciating apin)
Time frame: 48 hours after surgery
Pain scores for 6 hours after surgery (r-FLACC)
r-FLACC scale (revised Face, Legs, Activity, Cry, Consolability scale): summation of each items and total range is 0\~10. higher values represent a more severe pain.
Time frame: 6 hours after surgery
Pain scores for 12 hours after surgery (r-FLACC)
r-FLACC scale (revised Face, Legs, Activity, Cry, Consolability scale): summation of each items and total range is 0\~10. higher values represent a more severe pain.
Time frame: 12 hours after surgery
Pain scores for 24 hours after surgery (r-FLACC)
r-FLACC scale (revised Face, Legs, Activity, Cry, Consolability scale): summation of each items and total range is 0\~10. higher values represent a more severe pain.
Time frame: 24 hours after surgery
Pain scores for 48 hours after surgery (r-FLACC)
r-FLACC scale (revised Face, Legs, Activity, Cry, Consolability scale): summation of each items and total range is 0\~10. higher values represent a more severe pain.
Time frame: 48 hours after surgery
Whether to administer additional intravenous narcotic analgesics with total additional intravenous analgesic dose.
-% of patients with given intravenous additional narcotic analgesics * number of administrating intravenous additional narcotic analgesics per patient
Time frame: 48 hours after surgery
Whether to administer additional intravenous narcotic analgesics with total additional intravenous analgesic dose.
-% of patients with given intravenous additional narcotic analgesics * total additional dose of intravenous narcotic analgesics per patient
Time frame: 48 hours after surgery
Whether to administer additional intravenous narcotic analgesics with total additional intravenous analgesic dose.
-% of patients with given intravenous additional narcotic analgesics * measurement tool: Electronic Medical Record(including Drug administration history)
Time frame: 48 hours after surgery
A dull feeling the patient feels
A dull feeling the patient feels : yes or no
Time frame: 6 hours after surgery
A dull feeling the patient feels
A dull feeling the patient feels : yes or no
Time frame: 12 hours after surgery
A dull feeling the patient feels
A dull feeling the patient feels : yes or no
Time frame: 24 hours after surgery
A dull feeling the patient feels
A dull feeling the patient feels : yes or no
Time frame: 48 hours after surgery