Comparison between two methods of pain relief after Hernia surgery in children.
- Conditions
- undergoing unilateral inguinal herniotomy for circumscision, congential hernia
- Registration Number
- CTRI/2017/04/008341
- Lead Sponsor
- Mahatma Gandhi Memorial Government Hospital
- Brief Summary
To evaluate the efficacy of the Ultrasound-guidedTransversus Abdominis Plane Block in comparison with the Caudal Epidural Block,for pain relief in paediatric inguinal hernia repair surgeries
**Methodology:**
Sixty patients belonging to the age group 1-7years, weighing 5-20kgundergoing unilateral inguinal herniotomy were randomly allocated into twogroups. Group T (n=30) received USG-guided TAP block with 0.5ml/kg of 0.25%bupivacaine and Group C (n=30) received 1ml/kg of 0.25% bupivacaine, afterinstitution of general anaesthesia via ambu LMA. The intra-operativehemodynamics and analgesic requirement were recorded by a blinded investigator.Pain in the post-operative period wasassessed using FLACC pain score. Time to first rescue analgesia, cumulativeopioid consumption, along with the incidence of side effects were noted in thefirst 12hrs of the post-operative period
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 60
- Children weighing 5-20kg 2.
- Children belonging to ASA Physical status I & II 3.
- Children undergoing elective inguinal herniotomy 4.
- Children undergoing unilateral surgery.
- Children undergoing bilateral Inguinal Herniotomy 2.
- children belonging to ASA status III, IV, 3.
- Children of age less than 2yrs or more than 7yrs, excluded 4.
- Children weighing less than 5 kg or more than 20kg 5.
- Children with known allergy to the drugs used in the study 6.
- Children with any contraindications for caudal anaesthesia such as major sacral malformations, meningitis, raised intracranial hypertension 8.
- Parent refusal for consent were excluded from the study.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Pain assessment in the post-operative period was done using FLACC pain score. Children were monitored during the time points; | 1. immediate post-operative period in the recovery room | 2. every hour for the first 12hrs in the post-operative period
- Secondary Outcome Measures
Name Time Method •Intraoperative parameters measured: 1.Haemodynamic variability
Trial Locations
- Locations (1)
Mahatma Gandhi Memorial Government Hospital, Thillai Nagar, Puthur, Trichy- 620017
🇮🇳Tiruchirappalli, TAMIL NADU, India
Mahatma Gandhi Memorial Government Hospital, Thillai Nagar, Puthur, Trichy- 620017🇮🇳Tiruchirappalli, TAMIL NADU, IndiaDr Selvakumar RPrincipal investigator9842165067drselvakumar@rediffmail.com