TRANSVERSE ABDOMINAL PLANE BLOCK VS. ILIO-INGUINAL ILIO-HYPOGASTRIC BLOCK in PEDIATRIC INGUINAL SURGERY
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Analgesia
- Sponsor
- Tunis University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Quality of postoperative analgesia : PPMP score
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The ilio-inguinal ilio-hypogastric (IIIH) nerve block remains the gold standard analgesic technique after inguinal surgery in children. Transverse abdominal plane (TAP) block has been reported to provide effective analgesia after lower abdominal surgery in adults. The aim of our study was to compare the analgesic effect of ultrasound-guided TAP block to IIIH nerve block after inguinal surgery in children.
Detailed Description
The study aimed to compare the analgesic effect of ultrasound-guided transverse abdominal plane (TAP) block to ilio-inguinal ilio-hypogastric (IIIH) nerve block in children after inguinal surgery. This prospective, randomized study included children aged six months to twelve years, classified as ASA I or II, scheduled for elective unilateral inguinal surgery. Participants received either a TAP block or an IIIH block with bupivacaine following standardized induction of general anesthesia. Analgesics were not systematically administered post-induction. Postoperative pain was monitored for six hours in the hospital, and if the CHEOPS score exceeded 7, paracetamol was administered, with nalbuphine as a secondary option if needed. At home, parents assessed pain using the PPMP score, administering paracetamol and ibuprofen if necessary. Primary outcomes included postoperative analgesia quality, determined by time to first analgesic requirement and the need for analgesics at hospital and home. Secondary outcomes measured included block performance duration, parental satisfaction, and incidence of complications.
Investigators
Mehdi Trifa
Head of the Department of Anesthesiology and Critical Care
Tunis University
Eligibility Criteria
Inclusion Criteria
- •Children aged 6 months to 12 years
- •ASA physical status 1 or 2
- •Scheduled for unilateral inguinal surgery
Exclusion Criteria
- •Children scheduled for bilateral surgery or associated procedures (e.g., circumcision)
- •Parental refusal
Outcomes
Primary Outcomes
Quality of postoperative analgesia : PPMP score
Time Frame: 24 h after surgery
The quality of postoperative analgesia described by the pain score : Postoperative Pain Measure for Parents (PPMP) score, minimum value is 0 , maximum value 10 , a value higher than 6 indicates a major pain .
Secondary Outcomes
- Block execution time(From the beginning of the practice of the block to the end)
- Complications related to the techniques of nerve block(Perioperative)