The Analgesic Efficacy of Modified Thoracoabdominal Nerve Block Through Perichondrial Approach for Laparoscopic Abdominal Surgery in Children: Randomized Controlled Trial
概览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- Kasr El Aini Hospital
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- FLACC pain score
概览
简要总结
This investigation aims to assess the efficacy of M-TAPA in children undergoing laparoscopic abdominal surgery.
Sixty pediatric patients undergoing laparoscopic abdominal surgery under general anesthesia will be enrolled in this single-center study. Preoperatively, participants will be randomly assigned to receive either port-site local anesthetic infiltration or M-TAPA.
详细描述
This investigation aims to assess the efficacy of M-TAPA in children undergoing laparoscopic abdominal surgery.
Sixty pediatric patients undergoing laparoscopic abdominal surgery under general anesthesia will be enrolled in this single-center study. Preoperatively, participants will be randomly assigned to a port site local anesthetic infiltration. or M-TAPA.
- port-site local anesthetic infiltration Before the skin incision, the surgeon will inject 0.17 mL/kg of 0.25% bupivacaine (up to 2 mg/kg) via infiltration into the skin, subcutaneous tissue, and muscle fascia at the three laparoscopic ports.
- M-TAPA. Before skin incision, Ultrasound will be used to perform bilateral M-TAPA.0.25 mL/kg of 0.25% bupivacaine will be administered at each side.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 1 Year 至 7 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age (1-7) years.
- •Both genders.
- •American Society of Anaesthesiologists (ASA) - physical status I-II.
- •Children undergoing elective laparoscopic abdominal surgery.
排除标准
- •Parental refusal.
- •Bleeding disorders with INR \> 1.5 and/or platelets \< 50
- •History of allergic reactions to local anesthetics.
- •Rash or signs of infection at the injection site.
研究组 & 干预措施
port site infiltration
Children will receive port site LA infiltration.
干预措施: port site infiltration (Procedure)
M-TAPA
Children will receive bilaterall ultrasound guided M-TAPA block.
干预措施: M-TAPA (Procedure)
结局指标
主要结局
FLACC pain score
时间窗: 6 hours postoperatively.
The FLACC pain score at 6 hours postoperatively.
次要结局
未报告次要终点
研究者
Ahmed Mohamed Mohamed Elhaddad
Assisstent Professor
Kasr El Aini Hospital