Role of anterior abdominal wall blocks in open pyeloplasty in children

Not yet recruiting

• Conditions: Children undergoing pyeloplasty aged between 2 to 10 years age group

• Registration Number: CTRI/2018/01/011445
• Lead Sponsor: AIIMS New Delhi

Brief Summary

Renal  surgeries  are commonly performed procedures in children and are associated with significant post-operative pain.Effective postoperative analgesia is essential to allow coughing, early mobilization, and to reduce the incidence of post-operative respiratory complications. Compared to systemic opioids , neuraxial analgesia  and  peripheral  nerve blockade  techniques  can  provide superior analgesia while avoiding majority of side effects of opioids as well as  NSAIDs.

The transversus abdominis plane (TAP) block and quadratus lumborum(QL) block are the truncal nerve blocks that targets the lower thoracic and upper lumbar nerves as they course through the inter-fascial planes and provides analgesia for procedures involving the abdominal wall.

Quadratus lumborum (QL) block  is a newly introduced variation of TAP block, reported to provide excellent post-operative analgesia in; pediatric patients undergoing radical nephrectomy (2), colostomy closure (3), pyeloplasty .

Detailed Description

Not available

Study Timeline

• Study Start: 2018-01-02
• Last Update Posted: 2018-01-19

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

American Society of Anaesthesiology physical status I and II Posted for elective pyeloplasty.

Exclusion Criteria

• Refusal of parents or guardians to participate in the study 2.
• Developmental delay and mental retardation 3.
• History of sensitivity to drugs used in the study 4.
• Coagulopathy 5.
• Infection at the puncture site 6.
• Significant cardiac renal or liver disease.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To compare the incidence of nausea or vomiting, excessive sedation and respiratory depression	at 1, 2, 4, 6, 8, 12, 18, 24 hours
Secondary Objectives	at 1, 2, 4, 6, 8, 12, 18, 24 hours
To compare the intraoperative and post operative analgesic consumptions and post operative VAS scores	at 1, 2, 4, 6, 8, 12, 18, 24 hours
Primary outcome	at 1, 2, 4, 6, 8, 12, 18, 24 hours

Secondary Outcome Measures

Name	Time	Method
Secondary Objectives	To compare the incidence of nausea or vomiting, excessive sedation and respiratory depression

Trial Locations

Locations (1)

AIIMS New Delhi; 🇮🇳 South, DELHI, India

AIIMS New Delhi

🇮🇳South, DELHI, India

Dr Praveen Talawar

Principal investigator

09654162941

praveenrt64@gmail.com