Ultrasound Guided Posterior Versus Lateral Transversus Abdominis Plan Block for Prolonged Postoperative Analgesic Effect in Children

NCT04049838 | Unknown

• 1 other identifier: 011223456
• Study Type: interventional
• Target: 69
• Locations: 1 country
• Sites: 1

Brief Summary

Ultrasound Guided Posterior Versus Lateral Transversus Abdominis Plan Block for Prolonged Postoperative Analgesic Effect in Children

Conditions

Pain, Postoperative

Outcome Measures

Primary Outcomes (1)

• postoperative pain assessment by the CHEOPS score

  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

  the first 24 hours postoperative

Secondary Outcomes (2)

• heart rate

  at 2,4,8,12 and 24 hours postoperative

• Mean arterial blood pressure

  at 2,4,8,12 and 24 hours postoperative

Study Arms (3)

lateral transversus abdominis block

ACTIVE COMPARATOR

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

Procedure: postoperative analgesia for lower abdominal surgery in children

posterior tansversus abodominis plane block

ACTIVE COMPARATOR

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

Procedure: postoperative analgesia for lower abdominal surgery in children

convential analgesia

ACTIVE COMPARATOR

conventional analgesia in form of 1 micrograms. Kg-1 fentanyl and paracetamol 15 mg. Kg-1 suppositories

Procedure: postoperative analgesia for lower abdominal surgery in children

Interventions

postoperative analgesia for lower abdominal surgery in children PROCEDURE

compare lateral and posterior approaches of trannsversus abdominis plane block for analgesia after lower abdominal surgery in children

convential analgesia; lateral transversus abdominis block; posterior tansversus abodominis plane block

Eligibility Criteria

• Age: 1 Year - 7 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• children from 1- 7 years
• scheduled to undergo lower abdominal surgery

You may not qualify if:

• bleeding disorders
• emergency surgery
• skin lesion at site of needle insertion

Sponsors & Collaborators

• Kasr El Aini Hospital: lead

Study Sites (1)

Kasr Al Aini

Cairo, 56545, Egypt

RECRUITING

MeSH Terms

Conditions

Pain, Postoperative

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Central Study Contacts

Mohamed M Kamel, MD

CONTACT

01005238534; mohamedmaher959@yahoo.com

Ahmed S Helal, MD

CONTACT

01005287692; a_s_helal@yahoo.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: lecture of anesthesia

Model Details: randomized control study

Study Record Dates

• First Submitted: July 21, 2019
• First Posted: August 8, 2019
• Study Start: February 16, 2019
• Primary Completion: November 5, 2019
• Study Completion: December 5, 2019
• Last Updated: October 21, 2019

Record last verified: 2019-10

Locations

EG (1)