Ultrasound-Guided Transversalis Fascia Plane Block Versus Caudal Block for Postoperative Analgesia in Children Undergoing Inguinal Herniorrhaphy: A Randomized Controlled Non-Inferiority Trial
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Ultrasound
- Sponsor
- Tanta University
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Time to the 1st rescue analgesia
- Status
- Completed
- Last Updated
- 4 months ago
Overview
Brief Summary
The aim of this study is to compare ultrasound-guided transversalis fascia plane block and caudal block for postoperative analgesia in children undergoing inguinal herniorrhaphy.
Detailed Description
Surgical repair of inguinal hernia is one of the most common day-case surgeries in the pediatric population. It is associated with significant postoperative pain and discomfort. Caudal block analgesia is a popular and reliable technique for lower abdominal surgeries and found to be safe and effective for providing intra and postoperative analgesia in pediatric patients. transversal fascia plane block (TFPB) aims to provide analgesia for invasive procedures of the inguinal and sublingual areas by blocking the subcostal (T12), ilioinguinal (L1) and iliohypogastric (T12-L1) nerves. Several studies have reported TFPB as the analgesic method of choice for procedures involving the T12-L1 dermatome region, including iliac bone graft harvesting, cesarean section, and inguinal hernia repair
Investigators
Mohammed Said ElSharkawy
Lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Tanta University
Eligibility Criteria
Inclusion Criteria
- •Age from 1 to 7 years.
- •Both sexes.
- •American Society of Anesthesiology (ASA) physical status I-II.
- •Scheduled for inguinal herniorrhaphy under general anesthesia (GA).
Exclusion Criteria
- •Repeated surgeries.
- •Known allergic reactions to any of the study's drugs.
- •Infection at the site of block needle entry.
- •Bleeding diathesis.
- •Neurological disorders.
Outcomes
Primary Outcomes
Time to the 1st rescue analgesia
Time Frame: 24 hours postoperatively
Time to the first request for the rescue analgesia (time from the end of surgery to first dose of paracetamol administrated).
Secondary Outcomes
- Total paracetamol consumption(24 hours postoperatively)
- Intraoperative fentanyl consumption(Intraoperatively)
- Degree of pain(24 hours postoperatively)
- Hear rate(Every 15 min till the end of surgery (Up to 2 hours))
- Mean arterial pressure(Every 15 min till the end of surgery (Up to 2 hours))
- Degree of patient's parents satisfaction(24 hours postoperatively)
- Incidence of adverse events(24 hours postoperatively)