Ultrasound Guided Posterior Versus Lateral Transversus Abdominis Plan Block for Prolonged Postoperative Analgesic Effect in Children
- Conditions
- Pain, Postoperative
- Interventions
- Procedure: postoperative analgesia for lower abdominal surgery in children
- Registration Number
- NCT04049838
- Lead Sponsor
- Kasr El Aini Hospital
- Brief Summary
Ultrasound Guided Posterior Versus Lateral Transversus Abdominis Plan Block for Prolonged Postoperative Analgesic Effect in Children
- Detailed Description
the investigators will compare the effect of posterior Transversus abdominis plan block versus the effect of lateral transversus abdominis plan bock regarding the duration of analgesia and patients satisfaction the study will be conducted on 69 children aged from 1 to 7 years presented for lower abdominal surgery.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 69
- children from 1- 7 years
- scheduled to undergo lower abdominal surgery
- bleeding disorders
- emergency surgery
- skin lesion at site of needle insertion
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description convential analgesia postoperative analgesia for lower abdominal surgery in children conventional analgesia in form of 1 micrograms. Kg-1 fentanyl and paracetamol 15 mg. Kg-1 suppositories lateral transversus abdominis block postoperative analgesia for lower abdominal surgery in children patients will take lateral transversus abdominis plan block. The block will be done unilaterally on the same side of proposed surery with 0.25% bupivacaine at a volume of 1 ml·kg-1 posterior tansversus abodominis plane block postoperative analgesia for lower abdominal surgery in children patients will take posterior transversus abdominis plane block. The block will be done unilaterally on the same side of proposed surery with 0.25% bupivacaine at a volume of 1 ml·kg-1
- Primary Outcome Measures
Name Time Method postoperative pain assessment by the CHEOPS score the first 24 hours postoperative Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) for Post-Op Pediatric Pain the score is based on 6 crtiteria:
1. crying
2. facial expression
3. child verbal expression
4. body positiion
5. touching or grabbing at wound
6. legs position criterion 1 is given a score of 1-3, criterion 2 and 3 are given score 0-2, criterion 4,5 and 6 are given a score 1-2 making the worst possible score 13 while the least possible score is 4.
a total score of 6 or less indicates adequate analgesia
- Secondary Outcome Measures
Name Time Method heart rate at 2,4,8,12 and 24 hours postoperative Measurement of heart rate (beats per minute)
Mean arterial blood pressure at 2,4,8,12 and 24 hours postoperative Measurement of Mean arterial blood pressure ( mm Hg)
Trial Locations
- Locations (1)
Kasr Al Aini
🇪🇬Cairo, Egypt