CAUDAL EPIDURAL BLOCK in PEDIATRIC SURGERY CASES

INVESTIGATION of the CORRELATION of BLOCK SUCCESS with GALVANIC SKIN RESPONSE in PEDIATRIC SURGERY CASES PERFORMED UNDER CAUDAL EPIDURAL BLOCK ANESTHESIA

Caudal epidural anesthesia was reported as the first epidural anesthesia technique in 1933, but its use began to become widespread after the 1960s (1). The procedure is reliable, easy to perform, the incidence of complications is low, and the total complication rate is 1.5/1000; Serious complications occur at a rate of 1/40000. There are many methods to demonstrate the success of caudal epidural block. Some of the common traditional methods are changes in mean arterial pressure and heart rate. These methods are sometimes not objective and take time. In this study, we will examine the block success in pediatric patients who underwent caudal epidural block, which is applied in our hospital, whether the Galvanic skin response measured with a finger probe, other than traditional methods, correlates with the block success, and whether it shows faster block success compared to other traditional methods.

Study Overview

• Status: Recruiting
• Conditions: Pediatric Patient

Detailed Description

A successful caudal epidural block can provide safe, effective regional anesthesia. (4). The overall failure rate of caudal epidural block in pediatric patients is approximately 4%, depending on the anatomical and developmental abnormalities of the caudal canal (5,6). Therefore, reliable and rapid evaluation of a successful caudal epidural block is important to optimize anesthesia management in pediatric patients. Evaluating the success of caudal epidural block with traditional methods such as mean arterial pressure (MAP) and heart rate (HR) does not give completely objective results and takes time. Galvanic Skin Response (GSR) is a parameter that shows sweat gland function related to the autonomic nervous system. Physically, the galvanic skin response is the change in the electrical structure of the skin in response to various stimuli (7).Changes in tension measured from the skin surface are recorded. The relaxation and calming response accompanies an increase in skin resistance, while the fight response accompanies a decrease in skin resistance. In general, low conductivity is a sign of relaxation. High conductivity is a sign of emotional, mental or physical arousal (8). Galvanic Skin Response (GSR) evaluation is a non-invasive measurement that allows us to observe skin resistance changes with two probes attached to the fingertip. The aim of this study is to evaluate whether using Galvanic skin response (GSR) values measured with a finger probe will detect the success of caudal epidural block more quickly than other traditional methods in pediatric patients who underwent surgery with caudal epidural block.

• Study Type: Observational
• Enrollment (Estimated): 55

Contacts and Locations

• Study Contact: Name: çiğdem demirci; Phone Number: 05414104211; Email: cigdem_cirik@hotmail.com

Study Locations

• Turkey
  • Sivas, Turkey
    • Recruiting
    • Sivas State Hospital
    • Contact: çiğdem demirci; Phone Number: 05414104211; Email: cigdem_cirik@hotmail.com
    • Contact: çiğdem demirci

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child
• Accepts Healthy Volunteers: No

• Sampling Method: Probability Sample

Study Population

PEDIATRIC GROUP BETWEEN 1-6 YEARS

Description

Inclusion Criteria:

• lower abdominal/urogenital/lower extremity surgery
• Patients with ASA1-2

Exclusion Criteria:

• Those with neuromuscular disease
• PATIENTS WITH ASA3-4
• patients with cerebral palsy
• patients in mental reter

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Evaluation of block success in patients undergoing caudal epidural block	Evaluation of block success in patients undergoing caudal epidural block	After the caudal block is performed, it will be monitored for 20 minutes.

Collaborators and Investigators

• Sponsor: Cigdem Demirci
• Collaborators: Adiyaman University Research Hospital; sivas devlet hastanesi

Study record dates

Study Major Dates

• Study Start (Actual): November 10, 2024
• Primary Completion (Actual): November 10, 2024
• Study Completion (Estimated): June 30, 2025

Study Registration Dates

• First Submitted: November 28, 2024
• First Submitted That Met QC Criteria: February 26, 2025
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: February 26, 2025
• Last Verified: November 1, 2024

More Information

Terms related to this study

• Keywords: GALVANİC SKİN RESPONSE; PEDIATRIC PATIENT
• Other Study ID Numbers: SDH-AR-CD-01

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No