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Postoperative pain scores and analgesic requirements will be evaluated in neonates after abdominal surgery, with regional quadratus lumborum block performed at the beginning of the procedure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Neonates with abdominal surgery and quadratus lumborum block | 0-6 months children with abdominal surgery. After standard induction of general anesthesia, patients will receive 0.5 ml/kg of ropivacaine (2 mg/ml) in a quadratus lumborum block. Ultrasonography will be used to guide the injection. In the postoperative period, pain scores and analgesics consumption will be recorded until the 48th hour post surgery. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| General anesthesia | Procedure | Standard general anesthesia |
|
| Measure | Description | Time Frame |
|---|---|---|
| postoperative pain score | standard pain scale used in neonatology in our institution: EDIN (Echelle Douleur Inconfort Nourrisson) | At the 24th hour after surgery |
| morphine consumption | cumulative morphine dose administered to the patient | At the 24th hour after surgery |
| nalbuphine consumption | cumulative nalbuphine dose administered to the patient | At the 24th hour after surgery |
| postoperative pain score | standard pain scale used in neonatology in our institution: EVENDOL (EValuation ENfant Douleur) | At the 24th hour after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| morphine consumption | cumulative morphine dose administered to the patient | At the 48th hour after surgery |
| nalbuphine consumption | cumulative nalbuphine dose administered to the patient |
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Inclusion Criteria:
Exclusion Criteria:
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Neonates with planned abdominal surgery under general anesthesia, recruited in our neonatology unit.
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| Name | Affiliation | Role |
|---|---|---|
| Isabelle Constant, MD-PHD | Hopital Armand Trousseau, Université Paris 6, Département d'anesthésie | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hopital Armand Trousseau | Paris | 75012 | France |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| D010146 | Pain |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009461 | Neurologic Manifestations |
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| ID | Term |
|---|---|
| D000768 | Anesthesia, General |
| ID | Term |
|---|---|
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
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| Quadratus lumborum block | Procedure | Guided by ultrasonography, injection of 0.5 ml/kg of ropivacaine (2 mg/ml) between the quadratus lumborum muscle and the internal oblique muscle, before skin incision |
|
| At the 48th hour after surgery |
| D012816 | Signs and Symptoms |