Using Peripheral Perfusion Index to Predict Caudal Block Success in Kids Undergoing Surgery
Peripheral Perfusion Index as an Early Predictor of Successful Caudal Block in Pediatric Patients Undergoing Lower Abdominopelvic Surgeries Under General Anesthesia
This study is testing if a special measurement called the peripheral perfusion index can help predict if a pain relief technique will work for young children having surgery.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 60 (estimated) |
| Ages | 1 Year to 5 Years |
| Sex | All |
| Sponsor | Ain Shams University Academic / other |
| Locations | 1 site (Cairo, Abbasia) |
| Trial ID | NCT06846983 on ClinicalTrials.gov |
What this trial studies
This study aims to evaluate the effectiveness of the peripheral perfusion index (PPI) as an early predictor of successful caudal block in pediatric patients undergoing elective lower abdominopelvic surgeries under general anesthesia. Preoperative assessments will include a thorough medical history, clinical examination, and standard laboratory tests. Patients will be monitored during surgery using various methods, including pulse oximetry to measure PPI, which will be applied to the patient's toe. The study will focus on children aged 1-5 years and will adhere to strict preoperative fasting guidelines.
Who should consider this trial
Good fit: Ideal candidates are pediatric patients aged 1-5 years scheduled for elective lower abdominopelvic surgeries under general anesthesia.
Not a fit: Patients with ASA physical status classes III or above, or those with certain neurological disorders or infections, may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could improve the predictability of caudal block effectiveness, leading to better pain management in pediatric surgeries.
How similar studies have performed: While the use of peripheral perfusion index in this context is relatively novel, similar studies have shown promise in improving anesthesia outcomes.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Pediatric patients aging between 1-5 years of both sexes. * Pediatric patients posted for elective lower abdominopelvic surgeries under general anesthesia (duration of surgery under 120 minutes). * ASA physical status classes I - II. Exclusion Criteria: * Guardian's refusal of procedure or participation in the study. * ASA classes III or above. * Infection at site of injection. * Neurological diseases and disorders such as (neuromuscular disease, cerebral palsy, spinal dysraphism …etc.) * Coagulopathy and bleeding disorders. * Hypersensitivity to the study medications. * Patients receiving vasoactive drugs or beta blockers. * Patients undergoing emergency surgery. * Patients in active clinical sepsis.
Where this trial is running
Cairo, Abbasia
- Ain Shams University — Cairo, Abbasia, Egypt (Recruiting)
Study contacts
- Study coordinator: Mohamed Khaled Mohamed Ahmed, M.B.B.CH., M.Sc.
- Email: mohamed.mohsen@med.asu.edu.eg
- Phone: +2001069123693
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.