TAP Block Versus Local Anesthesia Infiltration at Wound Site for Postoperative Pain Relief After Laparoscopic Appendicectomy in Children

2021/571

When performing laparoscopic appendectomy in children, regional anesthetic techniques are rou-tinely used concomitantly with general anesthesia. These techniques include local infiltration of the trocar wounds or transverse abdominal plane block (TAP block). In 2018, a position paper of the European Society of Pediatric Anaesthesiology advised for TAP block over local infiltration of the trocar wounds. However, there is no randomized study comparing both techniques in children. The aim of this study is to compare morphine consumption during the first 24 postoperative hours in children undergoing laparoscopic appendectomy and randomly allocated to either local infiltration of the trocar wounds or TAP block.

2021-07-30

2023-12-25

2024-05-25

110

Inclusion Criteria: * Age betwween 3 and 15 years * Weight \< or = 50 kg * indicaction of coelioscopic appendicectomy * ASA 1,2 or 3 * consent of the children and the holder of parental autority Exclusion Criteria: * Age\<3 years or \> 15years or weight \> 50kg * refusal of the children and the holder of parental autority * ASA 4 * Peritonitis * Patients with long term morphinic traitment * Epilepsy * Hepato-cellular insuffisiancy * local anesthesia allergy or nalbuphine allergy * coagulation abnomrmality * exclusion of health insurance

{'studyType': 'INTERVENTIONAL', 'phases': ['NA'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'SUPPORTIVE_CARE', 'maskingInfo': {'masking': 'DOUBLE', 'whoMasked': ['CARE_PROVIDER', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 110, 'type': 'ESTIMATED'}}

2023-03-30