Health Condition 1: null- Undergoing elective Inguinal region surgeries
Conditions
Interventions
Intervention1: ultrasound guided transversus abdominins plane block: TAP block has been used in paediatric patients for lower abdominal and inguinal region surgeries
it is an abdominal field block which provides analgesia from T10 to L1 segment.Ultrasound probe (6-13Hz) would be kept cephalad to the ASIS keeping the probe parallel to line joining umbilicus and ASI
Sponsors
Post graduate institute of medical education and research
Eligibility
Inclusion criteria
Inclusion criteria: We would enroll American Society of Anesthesiologists physical status Iâ??II patients scheduled for elective unilateral inguinal surgery (inguinal herniotomy, hydrocelectomy,orchidopexy).
Exclusion criteria
Exclusion criteria: Exclusion criteria will include regional block refusal, known amide local anesthetic drug allergy, history of seizures or neurological, neuromuscular, psychiatric or blood clotting disorders, a history of clinically important renal, hepatic, cardiac, or neurological conditions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary end point will be time to first rescue analgesia (paracetamol (PCM)).Timepoint: In PACU pain scoring would be done every 15 minutes during the first hour in PACU and every 30 minutes for the next 3 hours in until discharge from the hospital. Pain will be assessed using FLACC Behavioural Pain Scale and Baker-Wong Faces Scale. If pain scores more than 6 they will be treated with injection fentanyl 0.5 microgram /kg and if pain scores more than 3 (FLACC)/more than 4(Baker Wong faces) injection paracetamol will be given | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary parameters would be total intra operative fentanyl consumption, time in image acquisition and drug injection, total post operative PCM consumption, pain and sedation scores, total number of patients requiring rescue analgesia (PCM), incidence of post op nausea vomiting, parental satisfaction scores.Timepoint: During the intraoperative course Vital parameters including heart rate, blood pressure and saturation will be recorded every 1minute for first 5minutes after block placement, at the time of skin incision, 5, 10 and 15 mins later. In PACU pain scoring and sedation scoring would be done every 15 minutes during the first hour in PACU and every 30 minutes for the next 3 hours in until discharge from the hospital.Incidence of nausea vomiting in PACU and parental satisfaction scores after 24 hours. | — |
Countries
India
Contacts
Public ContactDr Anudeep jafra
Post graduate Institute of medical education and research, Chandigarh
Outcome results
None listed