Effect of Nerve Block Under Ultrasound on Postoperative Prognosis in Children

Affiliated Hospital of Nantong University

Status: Completed

Conditions: Quality of Recovery

Treatments: Procedure: Ultrasound-guided lower abdominis rectus sheath block; Procedure: Local anesthesia infiltration

Study type: Interventional

Funder types: Other

Identifiers

NCT05820503

2021-K036

Details and patient eligibility

About

The goal of this study was to compare the incidence of pain and recovery agitation after single-port laparoscopic inguinal hernia repair in children. The main questions it aims to answer are:

• Reduction of postoperative pain by rectus sheath block compared with local anesthesia infiltration and control group
• A comparison between rectus sheath block and local anesthesia infiltration and control group on the reduction of agitation during postoperative recovery If there is a comparison group: The researchers will compare the ultrasound-guided rectus sheath group with the local anesthesia infiltration group and the control group to look at postoperative pain indicators and the incidence of waking agitation.

Full description

Postoperative emergence delirium is a common phenomenon in clinical practice, with an incidence rate of up to 20% to 80%. It has long been a concern and research topic in the medical community. In recent years, with the continuous improvement and updating of anesthesia technology, research on pediatric emergence delirium has become more and more in-depth.

The goal of this study was to compare the incidence of pain and recovery agitation after single-port laparoscopic inguinal hernia repair in children. The main questions it aims to answer are:

• Reduction of postoperative pain by rectus sheath block compared with local anesthesia infiltration and control group
• A comparison between rectus sheath block and local anesthesia infiltration and control group on the reduction of agitation during postoperative recovery If there is a comparison group: The researchers will compare the ultrasound-guided rectus sheath group with the local anesthesia infiltration group and the control group to look at postoperative pain indicators and the incidence of waking agitation.

Enrollment: 112 patients

Sex: All

Ages: 5 to 12 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age: 5~12 years old Male and female Single hole inguinal hernia repair surgery should be performed Parents volunteered to participate in the study and signed an informed consent

Exclusion criteria

• Preexisting neuropathy Coagulopathy Local skin infection Hepatic, renal, or cardiorespiratory failure Local anesthetic allergy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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112 participants in 3 patient groups

R group :Ultrasound-guided lower abdominis rectus sheath block group

Experimental group

Description:

Under ultrasound guidance, the probe was transversely placed at the lateral level of the umbilicus . Using the in-plane technique, the needle was advanced until the posterior aspect of the rectus muscle was penetrated. No blood and no gas were drawn back; furthermore, a small volume of saline was initially injected to ensure that the needle tip was correctly positioned. When the needle was located between the posterior rectus muscle and posterior sheath, 5ml of 0.25% ropivacaine was injected bilaterally.

Treatment:

Procedure: Ultrasound-guided lower abdominis rectus sheath block

Control group

No Intervention group

Description:

Do nothing with it

Local anesthesia infiltration Group

Experimental group

Description:

Local anesthesia drugs were injected into the peri-umbilicus cord

Treatment:

Procedure: Local anesthesia infiltration