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Completed

NCT Number: NCT01548027

Surgical Transversus Abdominis Plane Block in Pediatric Patients

The objective of this study to determine the effect of surgical transversus abdominis plane block and local infiltration for postoperative pain control in major abdominal surgery compare with control group.

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Key information

Conditions

Age range

Up to 15 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of Medicine, Siriraj Hospital, Mahidol University

Bangkok, 10700, Thailand

About this study

Most children experience postoperative pain after major abdominal surgery. They may have ineffective ventilation, following atelectasis and pneumonia if receive inadequate pain management. There are several methods used for pain relief such as epidural block, intravenous analgesia with local infiltration, transversus abdominis plane (TAP) block by ultrasound guided and surgical TAP block. Therefore, the investigators would like to compare the effectiveness of postoperative pain control with TAP block. However, TAP block in children need experience and ultrasound. The investigators decided to do surgical TAP block performing by inject from peritoneum point to skin instead.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age < 15 year
  • ASA I-III
  • Abdominal surgery : all upper abdomen and lower abdomen which would have midline incision
  • Elective surgery

Exclusion criteria

  • Allergic to Lidocaine or bupivacaine
  • Delayed development
  • Major abdominal surgery within 2 year

Treatment and study plan

Local infiltration group

Procedure

patients would have 0.5 ml/kg of 0.25% bupivacaine if age < 6 months or 1 ml/kg if age > 6 months around the wound by surgeon. The needle will be injected in subcutaneous tissue parallel to the wound.

Other names: local anesthetic infiltration

TAP Block

Procedure

Surgical TAP block (sTAP: Patients would have 0.5 ml/kg of 0.25% bupivacaine if age < 6 months or 1 ml/kg if age > 6 months

Other names: surgical transversus abdominis plane block

No intervention

Other

No intervention

Primary outcomes

  1. opioids consumption

    Time frame: 24 hours

    total opioids consumption in first 24 hours postoperatively

Secondary outcomes

  1. Time to first analgesic

    Time frame: 24 hr

Sponsors and collaborators

Lead sponsor

Mahidol University

Other

Registry information

Official study title

Efficacy of Surgical Transversus Abdominis Plane Block for Postoperative Pain Relief Following Abdominal Surgery in Pediatric Patients.

Acronym: TAP

Important dates

Study start
2012
Primary completion
2013
Study completion
2014
First posted
Mar 8, 2012
Registry last updated
Jul 31, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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