Surgical Transversus Abdominis Plane Block in Pediatric Patients (TAP)

Mahidol University

Status: Completed

Conditions: Child

Treatments: Other: No intervention; Procedure: TAP block; Procedure: Local infiltration group

Study type: Interventional

Funder types: Other

Identifiers

NCT01548027

752/2554

Details and patient eligibility

About

The objective of this study to determine the effect of surgical transversus abdominis plane block and local infiltration for postoperative pain control in major abdominal surgery compare with control group.

Full description

Most children experience postoperative pain after major abdominal surgery. They may have ineffective ventilation, following atelectasis and pneumonia if receive inadequate pain management. There are several methods used for pain relief such as epidural block, intravenous analgesia with local infiltration, transversus abdominis plane (TAP) block by ultrasound guided and surgical TAP block. Therefore, the investigators would like to compare the effectiveness of postoperative pain control with TAP block. However, TAP block in children need experience and ultrasound. The investigators decided to do surgical TAP block performing by inject from peritoneum point to skin instead.

Enrollment: 54 patients

Sex: All

Ages: Under 15 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Age < 15 year
2. ASA I-III
3. Abdominal surgery : all upper abdomen and lower abdomen which would have midline incision
4. Elective surgery

Exclusion criteria

1. Allergic to Lidocaine or bupivacaine
2. Delayed development
3. Major abdominal surgery within 2 year

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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54 participants in 3 patient groups

No intervention

Experimental group

Description:

no injection of local anesthetic agents

Treatment:

Other: No intervention

Local infiltration group

Experimental group

Description:

patients would have 0.5 ml/kg of 0.25% bupivacaine if age \< 6 months or 1 ml/kg if age \> 6 months around the wound by surgeon. The needle will be injected in subcutaneous tissue parallel to the wound.

Treatment:

Procedure: Local infiltration group

TAP block group

Experimental group

Description:

Surgical TAP block (sTAP: Patients would have 0.5 ml/kg of 0.25% bupivacaine if age \< 6 months or 1 ml/kg if age \> 6 months

Treatment:

Procedure: TAP block