Transversus Abdominis Plane Blocks for Infants and Children for Postoperative Pain Control

• Status: Completed
• Trial end date: 1969-12-31
• Target enrollment: 0
• Participant gender: All

Summary

After undergoing hernia surgery, hydrocelectomy or lower abdominal surgery, a child may experience some amount of pain in the post-operative period. As part of the anesthesia technique, the investigators routinely provide a nerve block done on the abdominal wall that will provide pain relief for at least 10 hours postoperatively. This is referred to as a TAP block. The purpose of this study is to determine if the nerve block performed with local anesthetic solution using a regular concentration solution vs. a diluted solution may offer different durations of pain relief.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Ann & Robert H Lurie Children's Hospital of Chicago
• Treatments: Anesthetics, Local; Bupivacaine

Criteria

Inclusion Criteria:

• Children under 8 years of age presenting for hernia repair, hydrocelectomy or lower abdominal surgery

• Estimated operative time approximately 3 hours

• American Society of Anesthesiologists Classification ASA I or II

• Parental consent to be included in the study

Exclusion Criteria:

• Any contraindications to local anesthesia but not limited to

1. Local infection of the abdominal wall.

2. Allergy to amide local anesthetics

3. History of significant cardiac disease or uncontrolled seizures.

4. Allergy to rescue analgesia including acetaminophen and or hydromorphone.

5. Neonates under 28 days.

• Inability for the family to complete the postoperative questionnaire