Comparison Of The Effectiveness Of Transversalis Fascia Plane Block And Transversus Abdominis Plane Block For Postoperative Analgesia After Pediatric Lower Abdominal Surgeries
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 84
- 试验地点
- 1
- 主要终点
- Pain scores
研究概览
简要总结
In this study, the investigators compared ultrasound-guided transversalis fascia plane (TFP) block and transversus abdominis plane (TAP) block on postoperative analgesic effect in pediatric abdominal surgeries
详细描述
After being informed about the study and potential risks, written consent was obtained from all patients. In order to effectively manage postoperative analgesia in patients planned for lower abdominal surgery (inguinal hernia and undescended testicles), patients will begin to be observed after routine anesthesia and block techniques applied to the patients. After these procedures, the block is applied to the patient using the appropriate method, under aseptic conditions and under ultrasound guidance. Intraoperative hemodynamic changes of the patients, intraoperative opioid consumption and bispectral index monitoring values of the patients will be kept throughout the peroperative period. Postoperative follow-ups will be made at 0nd, 1st, 2nd, 4th, 6th, 12th, and 24th hours to evaluate the initial analgesic consumption, need for analgesics types, pain levels, and parental satisfaction. In this way, it is aimed to compare the Transversalis Fascia Plan Block and Transversus Abdominis Plan Block as an effective analgesic application in lower abdominal surgery in children and to show the analgesic method that can be used effectively in postoperative pain management.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 1 Year 至 7 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •American Society of Anesthesiologist Classification (ASA) I-II patients
- •1-7 aged patients
- •patients who scheuled elective lower abdominal surgery (inguinal hernia and undescended testis)
排除标准
- •Use of anticoagulants
- •Allergy of medications to be used
- •Presence of infection the area where the block will be applied
- •American Society of Anesthesiologist Classification (ASA) III-IV patients
- •The study will not include any vulnerable population, such as those in restraints, those in intensive care and those who are unconscious, and those who cannot give personal consent or impressionable subjects.
- •Patients who do not agree to participate in the research, parents/legal guardians
- •Patients who were operated on with a different incision than planned for any reason.
结局指标
主要结局
Pain scores
时间窗: at the 6th postoperative hou
Our primary aim to compare the effect of both blocks groups on the FLACC (Face, Legs, Activity, Cry, Consolability) pain scores at the 6th postoperative hour. FLACC pain scale, zero is designated as the lowest pain level, and ten as the highest pain level.
次要结局
- Need for analgesic(During postoperative 24 hours)
- Nause and vomiting(During postoperative 24 hours)
- Parents satisfaction(During postoperative 24 hours)
- Pain scores(During postoperative 24 hours)
- Time elapsed until the first analgesic requirement(During postoperative 24 hours)
研究者
Hasibe Irban
Principal Investigator
Kocaeli University