Transversalis Fascia Plane Block vs Transversus Abdominis Plane Block In Pediatric Surgeries

Kocaeli University84 enrolled

Overview

In this study, the investigators compared ultrasound-guided transversalis fascia plane (TFP) block and transversus abdominis plane (TAP) block on postoperative analgesic effect in pediatric abdominal surgeries

After being informed about the study and potential risks, written consent was obtained from all patients. In order to effectively manage postoperative analgesia in patients planned for lower abdominal surgery (inguinal hernia and undescended testicles), patients will begin to be observed after routine anesthesia and block techniques applied to the patients. After these procedures, the block is applied to the patient using the appropriate method, under aseptic conditions and under ultrasound guidance. Intraoperative hemodynamic changes of the patients, intraoperative opioid consumption and bispectral index monitoring values of the patients will be kept throughout the peroperative period. Postoperative follow-ups will be made at 0nd, 1st, 2nd, 4th, 6th, 12th, and 24th hours to evaluate the initial analgesic consumption, need for analgesics types, pain levels, and parental satisfaction. In this way, it is aimed to compare the Transversalis Fascia Plan Block and Transversus Abdominis Plan Block as an effective analgesic application in lower abdominal surgery in children and to show the analgesic method that can be used effectively in postoperative pain management.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Postoperative Analgesia

Interventions

Transversalis Fascia Plane BlockOTHER

One-side ultrasound (US)-guided Transversalis fascia plane (TFP) block with 0.25% bupivacaine will performe after placement laryngeal mask airway before surgery.

Transversus Abdominis Plane BlockOTHER

One-side ultrasound (US)-guided Transversus abdominis plane (TAP) block with 0.25% bupivacaine will performe after placement laryngeal mask airway before surgery.

Eligibility

Sex: ALLMin age: 1 YearMax age: 7 Years

Medical Language ↔ Plain English

Inclusion Criteria: * American Society of Anesthesiologist Classification (ASA) I-II patients * 1-7 aged patients * patients who scheuled elective lower abdominal surgery (inguinal hernia and undescended testis) Exclusion Criteria: * Use of anticoagulants * Allergy of medications to be used * Presence of infection the area where the block will be applied * American Society of Anesthesiologist Classification (ASA) III-IV patients * The study will not include any vulnerable population, such as those in restraints, those in intensive care and those who are unconscious, and those who cannot give personal consent or impressionable subjects. * Patients who do not agree to participate in the research, parents/legal guardians * Patients who were operated on with a different incision than planned for any reason.

Locations (1)

Hasibe Irban

Kocaeli, Turkey (Türkiye)

Outcomes

Primary Outcomes

Pain scores

Our primary aim to compare the effect of both blocks groups on the FLACC (Face, Legs, Activity, Cry, Consolability) pain scores at the 6th postoperative hour. FLACC pain scale, zero is designated as the lowest pain level, and ten as the highest pain level.

Time frame: at the 6th postoperative hou

Secondary Outcomes

Pain scores

Secondary objectives will include comparison of patient FLACC (Face, Legs, Activity, Cry, Consolability) pain scores in 24-hour observations of patients. FLACC pain scale, zero is designated as the lowest pain level, and ten as the highest pain level.