Laparoscopic Appendectomy
Conditions
Keywords
Appendectomy, Laparoscopy, pediatric surgery
Brief summary
The transversus abdominis plane (TAP) block is a regional anesthetic technique for post operative pain control after abdominal surgical procedures. Its effectiveness in children undergoing laparoscopic appendectomy has not been demonstrated. The investigators evaluate its analgesic efficacy over the first 24 post operative hours.
Interventions
Ultrasound-guided transversus abdominis plane block wih Ropivacaine injection 0.2% at 0.3 ml/kg
Atracurium injection at 0.5 mg/kg at least 3 minutes before the surgical incision
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient hospitalized in surgery and infantile anesthesia unit or admitted in emergencies for an laparoscopic appendectomy surgery. * Patient whose general state corresponds to the classification of the American Society of Anesthesiologists (ASA) I to II * Patient member in a national insurance scheme
Exclusion criteria
* Patient with drilled appendicitis or peritonitis * Patient with a contraindication to local anesthesics * Patient with a contraindication to TAP block * Patient with allergies or known hypersensitivity to curare
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Painkiller of help consumption | up to 24 hours after surgery | Quantity of analgesic of help (Nalbuphine, Nubain®, Dupont Pharma, Paris, France) taken after the surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity after surgery | up to 24 hours | The post-operative pain will be estimated from the arrival in recovery room with the Face Legs Activity Cry Consolability (FLACC) scale. |
| First demand of analgesic of help | up to 12 hours | First demand of analgesic of help (Nubain ®) after the surgery |
Countries
France