Pain Clinical Trial
Official title:
Intraperitoneal Instillation of Levobupivacaine in Laparoscopic Pediatric Procedures
Pain after laparoscopic surgery has been associated with surgical manipulations, including
intraperitoneal insufflation of carbon dioxide (CO2), resulting in peritoneal stretching,
diaphragmatic irritation, changes in intra-abdominal pH, and retention of the insufflated
gas in the abdominal cavity after surgery. These effects may result in the irritation of
peritoneal nerves causing visceral pain, as commonly reported after laparoscopic procedures
in pediatrics.
The study hypothesis is that Intraperitoneal local anesthetic (levobupivacaine) instillation
can provide pain relief after laparoscopic surgery, but local anesthetic distribution may
not always be uniform throughout the peritoneal surface. Many methods were tried for
intraperitoneal application of local anesthetics in laparoscopic surgery such as local
anesthetic (LA) instillation and LA nebulization.
-But these methods are not widely used in pediatrics upon our knowledge
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Caregiver)
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