This study will compare two techniques to minimize pain during and after penile surgery in children undergoing certain urologic surgeries. These two approaches include the caudal nerve block and the pudendal nerve block.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Injectable 1 ml/kg of 0.25% ropivacaine with 1mcg/kg dexmedetomidine into caudal spinal space. First attempt will be landmark-guided into the caudal spine region. Subsequent attempt(s) may be done using ultrasound.
Injection of 0.5 ml/kg per side of injectable 0.2-0.3% ropivacaine with 0.5 mcg/kg dexmetomedine. Ultrasound-guided injection into each pudendal nerve region through skin of buttocks.
Injectable 1 ml/kg of 0.25% ropivacaine with 1mcg/kg dexmedetomidine into caudal spinal space. First attempt will be landmark-guided into the caudal spine region. Subsequent attempt(s) may be done using ultrasound.
UH Rainbow Babies and Children's Hospital
Cleveland, Ohio, United States
Rescue Narcotic Administration
Dose (mg) of postoperative rescue opioid
Time frame: During post-operative in-hospital recovery, approximately 1 hour
Non-Narcotic Rescue Administration at 24 hours
Dose (mg) of non-narcotic rescue medication
Time frame: During first day after surgery, approximately 24 hours
Non-Narcotic Rescue Administration at 48 hours
Dose (mg) of non-narcotic rescue medication
Time frame: During second day after surgery, approximately 48 hours
Non-Narcotic Rescue Administration at 72 hours
Dose (mg) of non-narcotic rescue medication
Time frame: During third day after surgery, approximately 72 hours
Number of participants with at least one adverse event (AE) as measured by patient report
Adverse events will include any AE related to study procedure
Time frame: End of study, up to 3 months
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Injection of 0.5 ml/kg per side of injectable 0.2-0.3% ropivacaine with 0.5 mcg/kg dexmetomedine. Ultrasound-guided injection into each pudendal nerve region through skin of buttocks.