Date of Award

Spring 4-12-2023

Document Type


Degree Name

Doctor of Nursing Practice (DNP)




Brian Garret, DNP,MSN,CRNA

First Committee Member

Regina Prusinski, DNP, APRN, FNP-BC, CPNP-AC

Second Committee Member

Amy Bishop DNP, AGCNS-BC,


Pediatric, Caudal Blocks, Postoperative, Pain Relief, Sub-umbilical

Subject Categories

Medicine and Health Sciences


Adequate pain control in pediatric patients undergoing sub-umbilical surgeries is critical because of the increased need for opioids and heart rate (HR) fluctuations that occur in the postoperative period. The traditional approach of providing anesthesia in sub-umbilical surgeries is general anesthesia(GA); however, this approach does provide prolonged pain relief. This project aims to establish evidence-based guidelines for implementing caudal blocks (CA) with GA in pediatric sub-umbilical surgeries. By implementing CA with GA, patients experience less pain, leading to a reduction of opioids and HR fluctuations in the postoperative period. The project follows the John Hopkins Evidence-Based Practice (JHEBP) model, a systemic approach for incorporating research findings into patient care. Data collection will involve retrospective chart analysis to assess patient information related to CA and postoperative pain. The project will monitor postoperative pain by assessing the Face, Legs, Activity, Cry, and Consolability (FLACC) score and the hemodynamics, specifically HR. The project seeks to enhance pain relief in pediatric patients undergoing sub-umbilical surgeries, improving pain scores, and reducing the need for postoperative opioids and HR fluctuations.

Acknowledgement 1


Acknowledgement 2


Licensing Permission

Copyright, some rights reserved. Attribution – Noncommercial – No Derivative Works



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