Unique ID issued by UMIN | UMIN000023547 |
---|---|
Receipt number | R000027084 |
Scientific Title | Ultrasound guided quadratus lumborum block compared to caudal morphine in children undergoing surgery for vesicoureteric reflux |
Date of disclosure of the study information | 2016/08/08 |
Last modified on | 2018/02/08 09:23:03 |
Ultrasound guided quadratus lumborum block compared to caudal morphine in children undergoing surgery for vesicoureteric reflux
quadratus lumborum block for vesicoureteric reflux
Ultrasound guided quadratus lumborum block compared to caudal morphine in children undergoing surgery for vesicoureteric reflux
quadratus lumborum block for vesicoureteric reflux
Japan |
Vesicoureteric reflux
Urology | Anesthesiology |
Others
NO
To compare quadratus lumborum block group with caudal-morphine group in children undergoing surgery for vesicoureteric reflux from the aspect of perioperative analgesia
Safety,Efficacy
The amount of analgesics 24 hours after surgery
The amount of analgesics in perioperative periods, pain score, incidence of complication at 0, 4, 24, 48 hours after surgery
Interventional
Parallel
Randomized
Individual
Single blind -participants are blinded
Active
2
Treatment
Maneuver |
The computer randomly assign patients to the quadratus lumborum block group (Group Q, n=20) or the caudal morphine group (Group C, n=20). Patient is blinded from the administration. In Group Q, the ultrasound-guided quadratus lumborum block is performed under general anesthesia. One mg/kg of 0.2% ropivacaine are administered on both sides.
General anesthesia are induced including continuous infusion of propofol, 0.5-1 mcg /kg/min remifentanil, and 0.6 mg/kg rocuronium and followed by tracheal intubation. Propofol are modurated to maintain the bispectral index within the recommended range (45-65). For intraoperative analgesia, 0.1-0.5 mcg /kg/min remifentanil are titrated and 4mcg /kg intravenous fentanyl are administered. All patients are extubated at the end of surgery, and a continuous infusion of fentanyl are started in the operating room at 0.2mcg/kg/h using Parent/Nurse Controlled Analgesia(PNCA) device (bolus dose 0.2mcg/kg, lock-out time 15 min) and continued on the ward. All infusions are continued for 48 h.
The computer randomly assign patients to the quadratus lumborum block group (Group Q, n=20) or the caudal morphine group (Group C, n=20). Patient is blinded from the administration. In Group C, the conventional caudal block is performed under general anesthesia. Two mg/kg of 0.2% ropivacaine are administered.
General anesthesia are induced including continuous infusion of propofol, 0.5-1 mcg /kg/min remifentanil, and 0.6 mg/kg rocuronium and followed by tracheal intubation. Propofol are modurated to maintain the bispectral index within the recommended range (45-65). For intraoperative analgesia, 0.1-0.5 mcg /kg/min remifentanil are titrated and 4mcg /kg intravenous fentanyl are administered. All patients are extubated at the end of surgery, and a continuous infusion of fentanyl are started in the operating room at 0.2mcg/kg/h using Parent/Nurse Controlled Analgesia(PNCA) device (bolus dose 0.2mcg/kg, lock-out time 15 min) and continued on the ward. All infusions are continued for 48 h.
1 | years-old | <= |
17 | years-old | >= |
Male and Female
Pediatric patients who undergoing surgery for vesicoureteric reflux
Patients who have had analgesics, allergy of local anesthetics, past same operation, anatomical abnormalities at the site of nerve block, infection at the site of nerve block, neurological abnormalities, severe heart and/or renal failure, vasopressors in the operation, continuous unstable hemodynamic parameter (sBP>200, sBP<80, HR<40), disagreement with our study.
40
1st name | |
Middle name | |
Last name | Makoto Sato |
Asahikawa Medical University
Department of Anesthesiology and Critical Care Medicine
Midorigaoka-higashi 2-1-1-1, Asahikawa,Japan
+81-90-6992-1409
satomako@asahikawa-med.ac.jp
1st name | |
Middle name | |
Last name | Makoto Sato |
Asahikawa Medical University
Department of Anesthesiology and Critical Care Medicine
Midorigaoka-higashi 2-1-1-1, Asahikawa,Japan
+81-90-6992-1409
satomako@asahikawa-med.ac.jp
Department of Anesthesiology, Chiba Children's Hospital
none
Other
NO
千葉県こども病院
2016 | Year | 08 | Month | 08 | Day |
Unpublished
Completed
2016 | Year | 05 | Month | 09 | Day |
2016 | Year | 08 | Month | 08 | Day |
2016 | Year | 08 | Month | 08 | Day |
2018 | Year | 02 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027084