Clinical trial NCT06701162: TRANSVERSE ABDOMINAL PLANE BLOCK VS. ILIO-INGUINAL ILIO-HYPOGASTRIC BLOCK in PEDIATRIC INGUINAL SURGERY
Official title: TRANSVERSE ABDOMINAL PLANE BLOCK VS. ILIO-INGUINAL ILIO-HYPOGASTRIC BLOCK in PEDIATRIC INGUINAL SURGERY
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Analgesia
Ultrasound Guided Block
Keywords: Transverse abdominal plane bloc
pain
analgesia
ultrasound
children
Lead sponsor: Tunis University
Sponsor class: OTHER
First posted: 2024-11-22
Enrollment: 60
Sex: ALL
Minimum age (years): 6
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The patients were randomly assigned into two groups to receive after a standardized induction of general anesthesia either an ultrasound-guided TAP block or IIIH block with bupivacaine 0.3 ml/kg.
Primary purpose: OTHER

Brief summary: The ilio-inguinal ilio-hypogastric (IIIH) nerve block remains the gold standard analgesic technique after inguinal surgery in children. Transverse abdominal plane (TAP) block has been reported to provide effective analgesia after lower abdominal surgery in adults. The aim of our study was to compare the analgesic effect of ultrasound-guided TAP block to IIIH nerve block after inguinal surgery in children.

Detailed description: The study aimed to compare the analgesic effect of ultrasound-guided transverse abdominal plane (TAP) block to ilio-inguinal ilio-hypogastric (IIIH) nerve block in children after inguinal surgery. This prospective, randomized study included children aged six months to twelve years, classified as ASA I or II, scheduled for elective unilateral inguinal surgery. Participants received either a TAP block or an IIIH block with bupivacaine following standardized induction of general anesthesia. Analgesics were not systematically administered post-induction. Postoperative pain was monitored for six hours in the hospital, and if the CHEOPS score exceeded 7, paracetamol was administered, with nalbuphine as a secondary option if needed. At home, parents assessed pain using the PPMP score, administering paracetamol and ibuprofen if necessary. Primary outcomes included postoperative analgesia quality, determined by time to first analgesic requirement and the need for analgesics at hospital and home. Secondary outcomes measured included block performance duration, parental satisfaction, and incidence of complications.

Eligibility criteria: Inclusion Criteria:

* Children aged 6 months to 12 years
* ASA physical status 1 or 2
* Scheduled for unilateral inguinal surgery

Exclusion Criteria:

* Children scheduled for bilateral surgery or associated procedures (e.g., circumcision)
* Parental refusal

Primary outcomes:
measure: Quality of postoperative analgesia : PPMP score
timeFrame: 24 h after surgery
Secondary outcomes:
measure: Block execution time
timeFrame: From the beginning of the practice of the block to the end
measure: Complications related to the techniques of nerve block
timeFrame: Perioperative
Other outcomes:
Locations:
city: Tunis
country: Tunisia
facility: Bechir Hamza hospital
Study officials:
References: