Comparison of Transversus Abdominis Plane (TAP) block, Ilioinguinal Nerve Block and Surgical Infiltration for Orchidoplexy and Hydrocele Repair in Children. MedDRA version: 9.1 Level: LLT Classification code 10054711 Term: Postoperative pain
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion Criteria: Children aged 6 months to 6 years Presenting for elective or emergent urology surgery Written Informed Parental/Guardian consent 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) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Exclusion Criteria: Parental/Guardian refusal Outside Age Range Allergy to Levobupivacaine, Morphine, Paracetamol, Sodium Diclofenac Skin lesions/infection at site of injection Renal or other organ dysfunction Sepsis Epilepsy/Seizure disorder
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The aim of the study is to compare the analgesic efficacy of the Transversus Abdominis Plane block, (TAP) with ilioinguinal/iliohyogastric block and wound infiltration for this surgical incision. Does the administration of levobupivacaine, into the transversus abdominis neurofascial plane (i.e. a Transversus Abdominis Plane Block, TAP Block) provide superior pain relief and reduced rescue analgesia, i.e. morphine, in children undergoing the suprapubic incision for urology surgery. Primary Measures: Severity of Postoperative Pain via CHEOPS score Total opiate usage in the first 24 hours after surgery ;Secondary Objective: To determine the potential for the TAP Block to reduce postoperative side effects of morphine such as nausea and vomiting, and sedation in children undergoing urological surgery with a suprapubic incision. Secondary Measures: Sedation Postoperative Nausea and Vomiting Patient (and Parent) Satisfaction ;Primary end point(s): Severity of Postoperative Pain via CHEOPS score Total opiate usage in the first 24 hours after surgery | — |
Countries
Ireland