Surgical Transversus Abdominis Plane Block in Pediatric Patients

Not Applicable

Completed

• Conditions: Child
• Interventions: Procedure: Local infiltration group; Other: No intervention; Procedure: TAP block

• Registration Number: NCT01548027
• Lead Sponsor: Mahidol University

Brief Summary

The objective of this study to determine the effect of surgical transversus abdominis plane block and local infiltration for postoperative pain control in major abdominal surgery compare with control group.

Detailed Description

Most children experience postoperative pain after major abdominal surgery. They may have ineffective ventilation, following atelectasis and pneumonia if receive inadequate pain management. There are several methods used for pain relief such as epidural block, intravenous analgesia with local infiltration, transversus abdominis plane (TAP) block by ultrasound guided and surgical TAP block. Therefore, the investigators would like to compare the effectiveness of postoperative pain control with TAP block. However, TAP block in children need experience and ultrasound. The investigators decided to do surgical TAP block performing by inject from peritoneum point to skin instead.

Study Timeline

• Study First Submitted: 2012-03-05
• Study First Submitted QC: 2012-03-07
• Study First Posted: 2012-03-08
• Study Start: 2012-07
• Primary Completion: 2013-12
• Status Verified: 2014-07
• Study Completion: 2014-07
• Last Update Submitted: 2014-07-30
• Last Update Posted: 2014-07-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 54

Inclusion Criteria

1. Age < 15 year
2. ASA I-III
3. Abdominal surgery : all upper abdomen and lower abdomen which would have midline incision
4. Elective surgery

Exclusion Criteria

1. Allergic to Lidocaine or bupivacaine
2. Delayed development
3. Major abdominal surgery within 2 year

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Local infiltration group	Local infiltration group	patients would have 0.5 ml/kg of 0.25% bupivacaine if age \< 6 months or 1 ml/kg if age \> 6 months around the wound by surgeon. The needle will be injected in subcutaneous tissue parallel to the wound.
No intervention	No intervention	no injection of local anesthetic agents
TAP block group	TAP block	Surgical TAP block (sTAP: Patients would have 0.5 ml/kg of 0.25% bupivacaine if age \< 6 months or 1 ml/kg if age \> 6 months

Primary Outcome Measures

Name	Time	Method
opioids consumption	24 hours	total opioids consumption in first 24 hours postoperatively

Secondary Outcome Measures

Name	Time	Method
Time to first analgesic	24 hr

Trial Locations

Locations (1)

Faculty of Medicine, Siriraj Hospital, Mahidol University; 🇹🇭 Bangkok, Thailand