Laparoscopic Guided Transversus Abdominis Plane Block for Postoperative Analgesia After Pediatric Laparoscopic Surgery.
Overview
- Phase
- Phase 2
- Intervention
- TAB Block
- Conditions
- Analgesia
- Sponsor
- Assiut University
- Enrollment
- 44
- Locations
- 1
- Primary Endpoint
- FLACC PAIN score
- Last Updated
- 5 years ago
Overview
Brief Summary
The aim of this study will be to investigate the safety and analgesic efficacy of Transversus Abdominis Plane (TAB) Block versus psoas block blockade. Both blocks will be administered surgically and guided by the laparoscopy screen in children undergoing laparoscopic surgery.
Detailed Description
Transversus abdominis plane (TAP) block is a promising effective method for postoperative pain control after major abdominal surgery. TAP block provides analgesia by inhibiting nerve conduction from the anterior abdominal wall arising from the intercostal nerves, subcostal nerves, and first lumbar nerve (T6-L1). Using a landmark technique, it is easily performed, but its popularity has decreased because of reduced efficacy due to inaccurate injection and the potential for intra-peritoneal organ damage. Ultrasound-guided TAP block provides better results and fewer complications, but it requires experienced operators. Surgically administered TAP (sTAP) block guided by the video camera of the laparoscope is a simple technique and may cause no complications. Also, under laparoscopic guidance, block of ilioinguinal, iliohypogastric, and genitofemoral nerves can be possible with anesthetic injection in the plane between psoas major and the fasciae covering its anterior aspects \[laparoscopic-assisted psoas (LAP) blockade\].
Investigators
Hala Saad Abdel-Ghaffar
principal investigator
Assiut University
Eligibility Criteria
Inclusion Criteria
- •Children (1-6 years) of both sexes undergoing elective laparoscopic surgeries that last \>30minutes (eg. undescended testis and inguinal hernia repair).
- •Written consent, free and informed
Exclusion Criteria
- •Significant respiratory, cardiac or renal disease
- •BMI \>95th percentile for age.
Arms & Interventions
TAB Block
Patients will recieve 0.3ml/kg bupivacaine 0.25% on each side for laparoscopically guided Transversus abdominis plane block.
Intervention: TAB Block
TAB Block
Patients will recieve 0.3ml/kg bupivacaine 0.25% on each side for laparoscopically guided Transversus abdominis plane block.
Intervention: Bupivacaine
Psoas Block
Patients will recieve 0.3ml/kg bupivacaine 0.25% on each side for laparoscopically guided psoas block.
Intervention: Psoas Block
Psoas Block
Patients will recieve 0.3ml/kg bupivacaine 0.25% on each side for laparoscopically guided psoas block.
Intervention: Bupivacaine
Outcomes
Primary Outcomes
FLACC PAIN score
Time Frame: 36hours
postoperative FLACC pain scores.