Title
Clonidine and Morphine in Caudal Anesthesia
Comparison of Clonidine and Morphine Plus Bupivacaine in Caudal Peridural Anesthesia for Postoperative Analgesia After Pediatric Urogenital Surgery
Phase
Phase 1/Phase 2Lead Sponsor
Federal University of Minas GeraisStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Postoperative PainIntervention/Treatment
levobupivacaine clonidine morphine ...Study Participants
80Hypothesis: The combined use of Clonidine and Morphine in caudal anesthesia provides better postoperative analgesia than either drug alone after urogenital pediatric surgery.
It is a randomized, double blind study, involving 80 children with ages from 1 to 10 years old, submitted to urogenital surgery, under general anesthesia and caudal block. The patients will be divided into 4 groups: bupivacaine alone, bupivacaine plus clonidine, bupivacaine plus morphine, bupivacaine plus clonidine and morphine. The peroperative consumption of analgesics and inhaled gases, BIS, heart rate and arterial blood pressure will be recorded. Postoperative pain will be evaluated by using Wong-Baker faces scale and pain and discomfort score scale, as well as the consumption of analgesics.
1 mcg/kg
20 mcg/kg
bupivacaine 0,166% 1 ml/kg clonidine 1 mcg/kg morphine 20 mcg/kg
Caudal anesthesia with bupivacaine 0,166% 1 ml/kg
compare caudal anesthesia with bupivacaine alone or in addition to morphine, clonidine or both
compare caudal anesthesia with bupivacaine plus clonidine with caudal anesthesia with bupivacaine alone or in addition to morphine or morphine plus clonidine
compare caudal anesthesia with bupivacaine plus morphine with caudal anesthesia with bupivacaine alone or in addition to clonidine or morphine plus clonidine
compares caudal anesthesia with bupivacaine, morphine and clonidine with caudal anesthesia with bupivacaine alone or in addition to morphine or clonidine
Inclusion Criteria: Urogenital pediatric surgery Status physical(ASA) 1 and 2 Exclusion Criteria: Cutaneous infection in puncture site