Intravenous Dexamethasone to Prolong Caudal Block Analgesia in Children Undergoing Hip Surgery
DEXA-CAUDAL
Effect of Intravenous Dexamethasone on the Duration of Caudal Block Analgesia in Children Undergoing Surgery for Developmental Dysplasia of the Hip: A Prospective, Randomized, Double-Blind, Placebo-Controlled Trial
The goal of this clinical trial is to learn whether a single intravenous dose of dexamethasone prolongs postoperative analgesia after a caudal block in children aged 6 months to 9 years undergoing surgery for developmental dysplasia of the hip. The main question it aims to answer is: does intravenous dexamethasone (0.5 mg/kg) lengthen the time to first rescue analgesic compared with placebo? Researchers compared dexamethasone with normal saline (placebo). All children received general anesthesia and a caudal block with bupivacaine 0.25%, and pain was assessed with the CHEOPS score during the first 24 postoperative hours.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
54 participants
Study completion date
December 1, 2020
Actual (reported)
Listed locations
1 countries · 1 sites
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Time in minutes from completion of the caudal block to the first administration of a rescue analgesic, given when the CHEOPS score reached 7 or more (CHEOPS range 4-13, higher scores indicate more pain).
From caudal block to 24 hours after surgery
Secondary Outcomes (5)
Number of rescue analgesic doses
Up to 24 hours after surgery
Type of rescue analgesic
Up to 24 hours after surgery
Study Arms (2)
Dexamethasone (Group D)
EXPERIMENTAL
Intravenous dexamethasone 0.5 mg/kg (0.5 ml/kg of a 1 mg/ml solution, maximum 10 mg) at induction of anesthesia, followed by a caudal block with plain bupivacaine 0.25%, 1 ml/kg.
Single-shot caudal epidural block with plain bupivacaine 0.25%, 1 ml/kg, performed after induction with a 22 G short-bevel caudal needle, at least 10 minutes before incision.
Dexamethasone (Group D)Placebo (Group P)
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ASA physical status I or II
Scheduled for surgery for unilateral or bilateral developmental dysplasia of the hip
Eligible for caudal analgesia
Written informed consent from a parent
You may not qualify if:
Parental refusal
Contraindication to inhalational induction with sevoflurane
Contraindication to caudal block
Coagulation disorder or anticoagulant treatment
Allergy to local anesthetics
Intellectual disability
Corticosteroid treatment in the days before surgery
Contact the study team to confirm eligibility.
Musculoskeletal Diseases
Musculoskeletal Abnormalities
Congenital Abnormalities
Congenital, Hereditary, and Neonatal Diseases and Abnormalities
Individual participant data will not be shared. Aggregate results will be published in a peer-reviewed journal.
Source record
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Source: ClinicalTrials.gov.
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