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Caudal blockade no longer being used in the ORs at this hospital.
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Caudal epidural blockade is frequently used as an adjunct to general anesthesia in children for perioperative analgesia. Intravascular injection of local anesthetic is a known complication that can adversely affect the neurological and cardiovascular systems. This study will look at the delayed effects of a caudal epidural block on the electrical activity of the patient's myocardium by trying to characterize the incidence of ECG changes within 60 minutes after the caudal dose is given.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Caudal block | Patients that receive regional anesthesia in the form of a caudal block prior to surgery as part of their standard of care. |
| |
| Control | Patients who do not receive a caudal block. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Electrocardiogram | Diagnostic Test | 12-lead ECG will be obtained after induction and at 5, 10, 20, 30, and 60 minutes after the caudal epidural block. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in T wave amplitude | Change in T wave amplitude on the ECG tracings | Baseline to 60 mins. post caudal |
| Change in T wave width | Change in T wave width on the ECG tracings | Baseline to 60 mins. post caudal |
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Inclusion Criteria:
Exclusion Criteria:
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Pediatric patients having general surgery at Nationwide Children's Hospital.
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| Name | Affiliation | Role |
|---|---|---|
| Senthil Krishna, MD | Nationwide Children's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nationwide Children's Hospital | Columbus | Ohio | 43205 | United States |
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| ID | Term |
|---|---|
| D004562 | Electrocardiography |
| ID | Term |
|---|---|
| D006334 | Heart Function Tests |
| D003935 | Diagnostic Techniques, Cardiovascular |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| D004568 | Electrodiagnosis |