inguinal hernia or hydrocele transversalis fascia plane block quadratus lumborum blocks laparoscopic percutaneous extraperitoneal closure single-incision laparoscopic percutaneous extraperitoneal closure pediatric anesthesia regional block
Conditions
Interventions
Bilateral ultrasound-guided TFP block (0.25% bupivacaine, 0.4 ml/kg/side) administered prior to incision,Bilateral ultrasound-guided QL block (0.25% bupivacaine, 0.4 ml/kg/side) administered prior to
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
transversalis fascia plane block,quadratus lumborum blocks
Sponsors
Queen Sirikit National Institute of Child Health
Eligibility
Sex/Gender
All
Age
1 Years to 7 Years
Inclusion criteria
Inclusion criteria: 1. Patients aged 1 to 7 years, diagnosed with inguinal hernia or hydrocele and scheduled for elective laparoscopic repair via SILPEC or LPEC under general anesthesia 2. ASA physical status 1-2 3. IPD case
Exclusion criteria
Exclusion criteria: 1. Patients with a history of opioid use 2. Patients with a history of bupivacaine, paracetamol, and ibuprofen allergy 3. Patients with a condition of G6PD deficiency 4. Patients with a condition of coagulopathy 5. Patients with a condition of abnormal liver function or renal function 6. Patients with a history of recurrent hernia after surgery 7. Patients with a condition of umbilical hernia 8. Patients with a condition of abnormal neurodevelopment which effect to pain assessment(CHEOPS)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to first analgesic drugs Duration of time after finish operation that patient need analgesic drug Time in hour | — |
Secondary
| Measure | Time frame |
|---|---|
| CHEOPS After finish surgery at immediately, 30 min, 60 min, 4 hour, 8 hour, 12 hour and 24 hour CHEOPS (Children's Hospital of Eastern Ontario Pain Scale),PPPM First 48 hours after finish surgery PPPM (Parents' Postoperative Pain Measurement),Intraoperative opioid consumption During operation fentanyl(mcg/kg),Postoperative opioid consumption First 24 hours after finish surgery fentanyl(mcg/kg),Postoperative paracetamol consumption First 48 hours after finish surgery paracetamol(mg/kg) | — |
Countries
Thailand
Contacts
Public ContactChanya Deekiatphaiboon
Queen Sirikit National Institute of Child Health
Outcome results
None listed