Health Condition 1: K409- Unilateral inguinal hernia, without obstruction or gangrene
Conditions
Interventions
Intervention1: Ultrasound Guided Retrolaminar block: After general anesthesia, for the retrolaminar block, the patient will be placed in lateral position with hips and knees flexed, the thoracolumbar
Sponsors
All India Institute of Medical Sciences
Department Of Anesthesia
Eligibility
Inclusion criteria
Inclusion criteria: 1)Paediatric patients aged 2 10 years. 2)ASA physical status I or II. 3)Scheduled for unilateral open hernia repair under general anaesthesia.
Exclusion criteria
Exclusion criteria: 1)Neurological deficits or spinal anomalies. 2)Coagulopathy or bleeding disorders. 3)Allergy to local anaesthetics. 4)Infection, redness, or abnormality at the injection site. 5)Intellectual disability or psychiatric disorder
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative pain score at 6 hours at rest, assessed using the Face, Legs, Activity, Cry, Consolability (FLACC) scale.Timepoint: at 6 hr at rest post surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Total intraoperative fentanyl requirement ( g/kg) in both groups. Timepoint: whole intraoperative period of surgery after the block is given till the surgery is ended;Postoperative pain scores assessed using the FLACC scale: At rest: at 1, 2, 4 hrs postoperatively. During movement: at 1, 2, 4, and 6 hours postoperatively. Movement will be defined as active or passive flexion of the hip or gentle lifting of the operated limb to simulate normal postoperative activity Timepoint: At rest- 1,2,4 hrs At movement-1,2,4,6 hr;Time to first rescue analgesic requirement, defined as the time from completion of surgery to administration of the first dose of rescue analgesic (IV fentanyl 0.5 g/kg).Timepoint: from end of surgery till rescue analgesia is given (will be checked for a period of 6 hrs in postop till discharge);Total rescue analgesic consumption within the first 6 postoperative hours.Timepoint: first 6 hrs of postop till discharge;Incidence of block-related and postoperative complications, such as nausea, vomiting, urinary retention, motor weakness, vascular puncture, or local site swelling.Timepoint: From time since block is given in the intraoperative period till next day of surgery;Parental satisfaction score at discharge, assessed using a 5-point Likert scale (1 = very dissatisfied to 5 = very satisfied)Timepoint: at 6 hrs before discharge | — |
Countries
India
Contacts
Public ContactDr Yasha Chittora
AIIMS, New Delhi, India
Outcome results
None listed