An interventional study of general anesthesia only. and general anesthesia plus supraclavicular block. in Post Operative Pain, sponsored by Assiut University. Completed at 1 site in Egypt. Open to participants aged 2 Years to 18 Years. Per ClinicalTrials.gov, last updated 2024-11-12.
Sponsored by Assiut University · Not applicable, Interventional, and Prevention
Established renal disease is a significant cause of morbidity and mortality in children and has implications for the conduct of general anesthesia (1).
Anesthetic management of pediatric patients is uniquely challenging. A large part of the anesthetic care includes pain management, management of concomitant disease, and risk reduction for adverse events. Perioperative pain management usually involves a multimodal pharmacologic approach to minimize opioid requirements. Regional anesthesia is valuable for postoperative pain control (2).
Postoperative analgesia is dictated by the extent and nature of the surgery. Regional block should be utilized where possible for its opioid-sparing effects. Where morphine infusions are commenced, the dose should be reduced due to the risk of accumulation of active metabolites and resultant opiate toxicity. Non-steroidal anti-inflammatory drugs are always avoided due to their deleterious effects on urine output (3).
Pediatric regional anesthesia is one of the most valuable and safe tools to treat perioperative pain and is an essential part of modern anesthetic practice. It provides excellent pain relief and allows caregivers to use multimodal analgesic techniques and decrease the use of opioids. Upper extremity brachial plexus blocks in children Various approaches to brachial plexus are available. The choice of the block is made depending on the indications. The supra-clavicular approach covers all the surgeries of the humerus and below (4).
The use of regional anaesthesia is mostly associated with vasodilatation which may guard against arterial spasm and may play a role in decreasing the postoperative complication and success of the superficialization of the arteriovenous shunt as a line for hemodialysis.
3,840 studies on the registry are indexed under Kidney Diseases; 500 are open to participants now.
This study's enrollment of 75 is close to the median of 70 across 2,640 interventional studies indexed under Kidney Diseases.
Browse Kidney Diseases studies →Assiut University is the lead sponsor of 4,901 studies on the registry; 2,098 are open to participants now.
Of its 13 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
the pediatric patients will receive general anesthesia only.
Other: general anesthesia only.
the pediatric patients will receive combined supraclavicular block and general anesthesia.
Other: general anesthesia plus supraclavicular block.
induction of general anesthesia by propofol and maintenance sevoflurane.
induction of general anesthesia by propofol and maintenance sevoflurane then the patients will receive the supraclavicular block with bupivacaine 0.5 ml per kg.
brachiocephalic fistula maturation time
time in weeks required by fistula to be clinically mature
Time frame: 6 month postoperative
anaesthetic consumption
measurment of anesthesia MAC
Time frame: 90 minutes intraoperative
postoperative analgesia time
Time frame: 24 hours postoperative
EMERGENCE agitation
RASS score used with -5 = deeply sedated and 4 = highly agitated
Time frame: 30 minutes postoperative
VAS score
scale of 10 points. zero= no pain and 10 = worest pain
Time frame: 24h postoperative
This study is completed, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Assiut University