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Ultrasound Guided Posterior Versus Lateral Transversus Abdominis Plan Block for Prolonged Postoperative Analgesic Effect in Children
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| lateral transversus abdominis block | Active Comparator | patients will take lateral transversus abdominis plan block. The block will be done unilaterally on the same side of proposed surery with 0.25% bupivacaine at a volume of 1 ml·kg-1 |
|
| posterior tansversus abodominis plane block | Active Comparator | patients will take posterior transversus abdominis plane block. The block will be done unilaterally on the same side of proposed surery with 0.25% bupivacaine at a volume of 1 ml·kg-1 |
|
| convential analgesia | Active Comparator | conventional analgesia in form of 1 micrograms. Kg-1 fentanyl and paracetamol 15 mg. Kg-1 suppositories |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| postoperative analgesia for lower abdominal surgery in children | Procedure | compare lateral and posterior approaches of trannsversus abdominis plane block for analgesia after lower abdominal surgery in children |
| Measure | Description | Time Frame |
|---|---|---|
| postoperative pain assessment by the CHEOPS score | Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) for Post-Op Pediatric Pain the score is based on 6 crtiteria:
a total score of 6 or less indicates adequate analgesia | the first 24 hours postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| heart rate | Measurement of heart rate (beats per minute) | at 2,4,8,12 and 24 hours postoperative |
| Mean arterial blood pressure | Measurement of Mean arterial blood pressure ( mm Hg) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mohamed M Kamel, MD | Contact | 01005238534 | mohamedmaher959@yahoo.com | |
| Ahmed S Helal, MD | Contact | 01005287692 | a_s_helal@yahoo.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kasr Al Aini | Recruiting | Cairo | 56545 | Egypt |
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randomized control study
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| at 2,4,8,12 and 24 hours postoperative |
| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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