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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
69
compare lateral and posterior approaches of trannsversus abdominis plane block for analgesia after lower abdominal surgery in children
Kasr Al Aini
Cairo, Egypt
RECRUITINGpostoperative 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: 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
Time frame: the first 24 hours postoperative
heart rate
Measurement of heart rate (beats per minute)
Time frame: at 2,4,8,12 and 24 hours postoperative
Mean arterial blood pressure
Measurement of Mean arterial blood pressure ( mm Hg)
Time frame: at 2,4,8,12 and 24 hours postoperative
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