Pain, Postoperative
Conditions
Brief summary
Ultrasound Guided Posterior Versus Lateral Transversus Abdominis Plan Block for Prolonged Postoperative Analgesic Effect in Children
Detailed description
the investigators will compare the effect of posterior Transversus abdominis plan block versus the effect of lateral transversus abdominis plan bock regarding the duration of analgesia and patients satisfaction the study will be conducted on 69 children aged from 1 to 7 years presented for lower abdominal surgery.
Interventions
compare lateral and posterior approaches of trannsversus abdominis plane block for analgesia after lower abdominal surgery in children
Sponsors
Study design
Intervention model description
randomized control study
Eligibility
Inclusion criteria
* children from 1- 7 years * scheduled to undergo lower abdominal surgery
Exclusion criteria
* bleeding disorders * emergency surgery * skin lesion at site of needle insertion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative pain assessment by the CHEOPS score | the first 24 hours postoperative | Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) for Post-Op Pediatric Pain the score is based on 6 crtiteria: 1. crying 2. facial expression 3. child verbal expression 4. body positiion 5. touching or grabbing at wound 6. legs position criterion 1 is given a score of 1-3, criterion 2 and 3 are given score 0-2, criterion 4,5 and 6 are given a score 1-2 making the worst possible score 13 while the least possible score is 4. a total score of 6 or less indicates adequate analgesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| heart rate | at 2,4,8,12 and 24 hours postoperative | Measurement of heart rate (beats per minute) |
| Mean arterial blood pressure | at 2,4,8,12 and 24 hours postoperative | Measurement of Mean arterial blood pressure ( mm Hg) |
Countries
Egypt