Evaluating Pain Outcomes of Caudal vs Ilioinguinal Nerve Block in Children Undergoing Hernia Repair

Summary

Surgical intervention to treat a inguinal hernia is a very common pediatric surgical procedure, often performed using an inguinal incision. Children who undergo hernia repair can suffer from a significant degree of discomfort postoperatively. The investigators are evaluating the effectiveness of an ultrasound guided caudal-epidural (CE) block to an US guided ilioinguinal/iliohypogastric (IIG/IHG) nerve block in achieving post operative analgesia following a hernia repair. It is hypothesized that US guided IIG/IHG nerve block leads to more effective pain control post-operatively while in hospital relative to an US guided CE block for inguinal hernia surgery.

Conditions

• Hernia, Inguinal
• Pain, Postoperative

Interventions

PROCEDURE

Ilioinguinal/iliohypogastric nerve block

See arm description

PROCEDURE

Caudal-epidural nerve block

See arm description

DRUG

Acetaminophen

See arm description

DRUG

Sevoflurane

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DRUG

Remifentanil

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DRUG

Propofol

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DRUG

Morphine

See arm description

DRUG

Ondansetron

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DRUG

Dexamethasone

See arm description

DRUG

Ketorolac

See arm description

Sponsors & Collaborators

• University of Saskatchewan

  collaborator OTHER

• Alberta Children's Hospital

  lead OTHER

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

6 Months

Max Age

4 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2015-09-01

Primary Completion

2018-09-01

Completion

2018-09-01

Countries

• Canada

Study Locations