Anesthesia Clinical Trial
Official title:
Transversus Abdominis Plane Block in Children Undergoing Open Pyeloplasty Surgery
NCT number | NCT01243593 |
Other study ID # | 1000019942 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | November 2010 |
Est. completion date | November 2014 |
Verified date | February 2021 |
Source | The Hospital for Sick Children |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to evaluate the effectiveness of transversus abdominis plane (TAP) block in reducing postoperative opioid requirements and pain after open pyeloplasty surgery in children.
Status | Completed |
Enrollment | 32 |
Est. completion date | November 2014 |
Est. primary completion date | November 2014 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 1 Month to 6 Years |
Eligibility | Inclusion Criteria: - American Society of Anesthesiologists (ASA) classification score 1-3 - age 1 month to 6 years inclusive Exclusion Criteria: - children undergoing an additional surgical procedure at an anatomical location not covered by a unilateral TAP block during the same anesthetic - children in whom a TAP block is contraindicated, i.e. surgical scar or distorted anatomy at the site of injection - postoperative admission to the intensive care unit - children with a known allergy to bupivacaine - children with a history of chronic abdominal pain requiring opioid analgesics - children with known renal insufficiency - children with known impaired hepatic function - children with known impaired cardiac function - children known hypersensitivity to sodium metabisulfite |
Country | Name | City | State |
---|---|---|---|
Canada | The Hospital for Sick Children | Toronto | Ontario |
Lead Sponsor | Collaborator |
---|---|
The Hospital for Sick Children |
Canada,
Lorenzo AJ, Lynch J, Matava C, El-Beheiry H, Hayes J. Ultrasound guided transversus abdominis plane vs surgeon administered intraoperative regional field infiltration with bupivacaine for early postoperative pain control in children undergoing open pyelop — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Requirement for Morphine Post-surgery. | The primary outcome measure will be the count and percentage of children who require morphine in the recovery room. | Time in recovery room, approximately 60-90 minutes. | |
Secondary | Total Amount of Morphine (mg/kg) Administered in the Recovery Room. | Patients will receive intravenous morphine 0.05 mg/kg if the FLACC is = 3/10 (equivalent to mild-to-moderate pain). Morphine may be given at 10 minute intervals as per standard protocol until the FLACC score is < 3/10, or the child declines additional pain medicine when offered. | Time in recovery room, approximately 60-90 minutes. | |
Secondary | Assessment of First Pain Score on Arrival to Recovery Room. | Pain scores will be assessed using the Faces-Legs-Activity-Cry-Consolibility (FLACC) scale for children = 7 years old. The FLACC scale is from 0-10 (0=no pain, 10=worst pain). The scale is composed of five subscales (Faces = facial expression; Legs = lower extremity movement; Activity = degree of movement; Cry = how upset the child is; Consolibity = how easy the child can be consoled). Eacg subscale is rated 0 to 2 (0 = rated as comfortable, no or minimal discomfort for that subscale; 2 = rated as uncomfortable, in pain according to that subscale). The subscales are summed to give a composite score out of 10. Pain scores will be assessed at admission to the recovery room. | On arrival to recovery room. |
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