Unique ID issued by UMIN | UMIN000024931 |
---|---|
Receipt number | R000028682 |
Scientific Title | A comparison of two doses of ropivacaine for ultrasound guided quadratus lumborum block in pediatric patients undergoing open inguinal hernia repair |
Date of disclosure of the study information | 2016/12/01 |
Last modified on | 2018/05/24 11:39:20 |
A comparison of two doses of ropivacaine for ultrasound guided quadratus lumborum block in pediatric patients undergoing open inguinal hernia repair
Quadratus lumborum block open inguinal hernia repair
A comparison of two doses of ropivacaine for ultrasound guided quadratus lumborum block in pediatric patients undergoing open inguinal hernia repair
Quadratus lumborum block open inguinal hernia repair
Japan |
Inguinal hernia
Surgery in general | Gastrointestinal surgery | Anesthesiology |
Child |
Others
NO
To compare two different doses of local anesthetics for quadratus lumborum block in pediatric patients undergoing open inguinal hernia repair from the aspect of perioperative analgesia
Efficacy
The number of anesthetised dermatomes 0.5 and 2 h after surgery
The amount of analgesics, duration of analgesia and incidence of complication until 24 hours after surgery
Interventional
Parallel
Randomized
Individual
Single blind -participants are blinded
Dose comparison
2
Treatment
Maneuver |
The computer randomly assign patients to low dose quadratus lumborum block group (Group L, n=20) or moderate dose group (Group M, n=20). Patient is blinded from the administration. In Group L, the ultrasound-guided quadratus lumborum block is performed under general anesthesia. 0.2ml/kg of 0.375% ropivacaine are administered on operation 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 supraglottic device insertion (i-gel). 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 2mcg /kg intravenous fentanyl are administered. All patients are extubated at the end of surgery. Postoperative pain was treated with additional intravenous acetaminophen 10mg/kg. The evaluation of anesthetised dermatomes was performed using ice pack in 0.5 and 2 h after surgery.
The computer randomly assign patients to low dose quadratus lumborum block group (Group L, n=20) or moderate dose group (Group M, n=20). Patient is blinded from the administration. In Group M, the ultrasound-guided quadratus lumborum block is performed under general anesthesia. 0.4 ml/kg of 0.375% ropivacaine are administered on operation 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 supraglottic device insertion (i-gel). 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 2mcg /kg intravenous fentanyl are administered. All patients are extubated at the end of surgery. Postoperative pain was treated with additional intravenous acetaminophen 10mg/kg. The evaluation of anesthetised dermatomes was performed using ice pack in 0.5 and 2 h after surgery.
3 | years-old | <= |
12 | years-old | >= |
Male and Female
Pediatric patients undergoing open inguinal hernia repair
Patients who have
1. American society of Anestheologists (ASA) classification of 3 or greater
2. had analgesics
3. allergy of local anesthetics
4. anatomical abnormalities, infection or neurological abnormalities at the site of nerve block
5. 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(千葉県)
2016 | Year | 12 | Month | 01 | Day |
Unpublished
Completed
2016 | Year | 11 | Month | 07 | Day |
2016 | Year | 12 | Month | 01 | Day |
2016 | Year | 11 | Month | 21 | Day |
2018 | Year | 05 | Month | 24 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000028682