Postoperative pain in children post open abdominal surgery MedDRA version: 8.1 Level: LLT Classification code 10054711 Term: Postoperative pain
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion Criteria: Children under 18 years of age Presenting for elective or emergent abdominal surgery Written Informed Consent [Parental consent where appropriate] ASA Grade 1 to 3 Are the trial subjects under 18? yes Number of subjects for this age range: F.1.2 Adults (18-64 years) F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Exclusion Criteria: Patient or Parental refusal Outside Age Range Allergy to bupivacaine, morphine, paracetamol, diclofenac sodium Skin lesions/infection at site of injection Renal or other organ dysfunction Sepsis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: We have recently described the Transversus Abdominis Plane (TAP) Block, a reliable approach to the blockade of the neural afferents to the anterior abdominal wall.The lumbar triangle of Petit is a potential access point to this neurofascial plane. Therefore, by introducing local anesthetic agents into this space via the triangle of Petit it is possible to block the sensory nerves of the anterior abdominal wall before they pierce the musculature to innervate the abdomen. We aim to determine the analgesic efficacy of TAP blockade in the first 24 postoperative hours, in children undergoing abdominal surgery via an abdominal wall incision, in a randomized controlled double blind clinical trial. Primary Measures: Severity of Postoperative Pain [VAS and Categorical pain Scales] Total opiate usage in the first 24 hours after surgery ;Secondary Objective: Secondary Measures:Sedation Postoperative Nausea and Vomiting Systemic absorption of Bupivacaine Effect on the stress response to surgery Patient Satisfaction ;Primary end point(s): Primary Measures:Severity of Postoperative Pain [VAS and Categorical pain Scales] Total opiate usage in the first 24 hours after surgery Secondary Measures:Sedation Postoperative Nausea and Vomiting Systemic absorption of Bupivacaine Effect on the stress response to surgery Patient Satisfaction | — |
Countries
Ireland