Comparison of Transversus Abdominis Plane Block and Ilioinguinal / Iliohypogastric Nerve Block

NCT02991053 | Unknown

• 1 other identifier: ERZINCAN UNIVERSITY 8
• Study Type: interventional
• Target: 100
• Locations: 0 countries
• Sites: N/A

Brief Summary

the aim of this study is to compare the effects of Transversus abdominis plane block and ilioinguinal / iliohypogastric block combined with sedation in pediatric surgeon on the anesthesia and analgesia contributions during surgery without general anesthesia.

Conditions

Intra-operative Anesthesia

Keywords

Intra-operative anesthesia; Pediatric patient; Transversus Abdominis Plane Block; ilioinguinal / iliohypogastric nerve block

Outcome Measures

Primary Outcomes (1)

• Amount of anesthetic drug which was used

  2 hour

Secondary Outcomes (1)

• Postoperative visual analogue scale

  one day

Study Arms (5)

block and ketamine

ACTIVE COMPARATOR

Transversus Abdominis Plane block after ketamine atropine induction and continued with ketamine only in anesthesia

Drug: ketamine

block; ketamine with laryngeal mask; inhalation anesthesia

ACTIVE COMPARATOR

After ketamine atropine induction, a laryngeal mask was inserted and anesthesia administration was continued with 2 sevoflurane minimum alveolar concentration and oxygen / air mixture and applied Transversus Abdominis Plane block.

Drug: ketamine

block and ketamine ıh/ıl

ACTIVE COMPARATOR

Ilioinguinal / iliohypogastric block after ketamine atropine induction and continued with ketamine only in anesthesia

Drug: ketamine

ıh/ıl block; ketamine; inhalation anesthesia

ACTIVE COMPARATOR

After ketamine atropine induction, a laryngeal mask was inserted and anesthesia administration was continued with 2 sevoflurane minimum alveolar concentration and oxygen / air mixture and applied Ilioinguinal / iliohypogastric block.

Drug: ketamine

control group

ACTIVE COMPARATOR

After ketamine atropine induction, a laryngeal mask was inserted and anesthesia administration was continued with 2 sevoflurane minimum alveolar concentration and oxygen / air mixture and Non-block, postoperative analgesia with paracetamol IV

Drug: ketamine

Interventions

ketamine DRUG

block and ketamine; block and ketamine ıh/ıl; block; ketamine with laryngeal mask; inhalation anesthesia; control group; ıh/ıl block; ketamine; inhalation anesthesia

Eligibility Criteria

• Age: 2 Years - 6 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• American society of anesthesia score I-II
• To undergo elective lower abdominal surgery
• between 2-6 years old

You may not qualify if:

• Patients with psychiatric disease
• Patients whose weight is more than 40 kg
• Patients with cardiac-pulmonary-neurological disease
• Patients with bleeding disorder
• Patients with infection or scar on the injection area
• Patients with known allergies to local anesthetics

Sponsors & Collaborators

• Erzincan University: lead

Related Publications (7)

• Newman K, Ponsky T, Kittle K, Dyk L, Throop C, Gieseker K, Sills M, Gilbert J. Appendicitis 2000: variability in practice, outcomes, and resource utilization at thirty pediatric hospitals. J Pediatr Surg. 2003 Mar;38(3):372-9; discussion 372-9. doi: 10.1053/jpsu.2003.50111.

  PMID: 12632352 BACKGROUND

• Scott AD, Phillips A, White JB, Stow PJ. Analgesia following inguinal herniotomy or orchidopexy in children: a comparison of caudal and regional blockade. J R Coll Surg Edinb. 1989 Jun;34(3):143-5.

  PMID: 2810163 BACKGROUND

• Markham SJ, Tomlinson J, Hain WR. Ilioinguinal nerve block in children. A comparison with caudal block for intra and postoperative analgesia. Anaesthesia. 1986 Nov;41(11):1098-103. doi: 10.1111/j.1365-2044.1986.tb12956.x.

  PMID: 3789367 BACKGROUND

• Tanaka M, Mori N, Murakami W, Tanaka N, Oku K, Hiramatsu R, Nakagawa M, Yasumoto K. [The effect of transversus abdominis plane block for pediatric patients receiving bone graft to the alveolar cleft]. Masui. 2010 Sep;59(9):1185-9. Japanese.

  PMID: 20857679 BACKGROUND

• Stuart-Smith K. Hemiarthroplasty performed under transversus abdominis plane block in a patient with severe cardiorespiratory disease. Anaesthesia. 2013 Apr;68(4):417-20. doi: 10.1111/anae.12108. Epub 2012 Dec 17.

  PMID: 23252578 BACKGROUND

• Tekelioglu UY, Demirhan A, Sit M, Kurt AD, Bilgi M, Kocoglu H. Colostomy with Transversus Abdominis Plane Block. Turk J Anaesthesiol Reanim. 2015 Dec;43(6):424-6. doi: 10.5152/TJAR.2015.89410. Epub 2015 Dec 1.

  PMID: 27366540 BACKGROUND

• Polaner DM, Taenzer AH, Walker BJ, Bosenberg A, Krane EJ, Suresh S, Wolf C, Martin LD. Pediatric Regional Anesthesia Network (PRAN): a multi-institutional study of the use and incidence of complications of pediatric regional anesthesia. Anesth Analg. 2012 Dec;115(6):1353-64. doi: 10.1213/ANE.0b013e31825d9f4b. Epub 2012 Jun 13.

  PMID: 22696610 BACKGROUND

MeSH Terms

Interventions

Ketamine

Intervention Hierarchy (Ancestors)

Cyclohexanes; Cycloparaffins; Hydrocarbons, Alicyclic; Hydrocarbons, Cyclic; Hydrocarbons; Organic Chemicals

Study Officials

• ilke kupeli

  Erzincan University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assist. prof.

Study Record Dates

• First Submitted: December 4, 2016
• First Posted: December 13, 2016
• Study Start: December 1, 2016
• Primary Completion: August 1, 2017
• Study Completion: November 1, 2017
• Last Updated: December 13, 2016

Record last verified: 2016-12

Data Sharing

• IPD Sharing: Will not share