The study will be carried on children undergoing lower abdominal surgeries. Patients will be randomly categorized into two study groups. Group A will include patients who will receive bupivacaine intrathecal injection without adjuvant. Group B will include patients who will receive bupivacaine and preservative-free midazolam.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
TRIPLE
Enrollment
120
The use of intrathecal bupivacaine will be compared to the use of intrathecal bupivacaine and midazolam.
midazolam
Alemeis hospital ksa
Jizan, Saudi Arabia
Duration of postoperative analgesia
Efficacy of PO analgesia will be determined, by an assistant who will be blinded about the using the observational pain-discomfort scale (OPS), which assesses behavioral parameters that can be evaluated objectively.
Time frame: 90 days
Duration of analgesia
defined as the time elapsed since end of the surgical procedure till OPS reaches \>11
Time frame: 90 days
Post operative resolution of motor block
will be assessed using Bromage score till complete recovery.
Time frame: 90 days
The level of Post operative sedation
will be assessed at 30 \& 120 minutes after admission to the recovery room using the modified WilsonSedation Score (WSS)
Time frame: 90 days
PO hospital stay
Duration of PO hospital stay
Time frame: 90 days
The rate of procedural success
Defined as peak sensory level at least T10, Bromage score at 3 at 10-min after spina block and no response to surgical stimuli once surgery will be allowed to start.
Time frame: 90 days
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