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Published on: January 11, 2014
Appendectomy Pain Control by Transversus Abdominis Plane (TAP) Block in Children
Mahin Seyedhejazi1, Samira Motarabbesoun1, Yashar Eslampoor1
1Anesthesiology Department, Children's Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
Insights
Transverse abdominis plane (TAP) block shows potential for reducing postoperative pain in children after appendectomy. While initial results indicate pain reduction, further research with larger sample sizes is recommended for significant findings.
Area of Science:
- Pediatric Anesthesiology
- Surgical Pain Management
- Regional Anesthesia Techniques
Background:
- Effective postoperative pain control in children is crucial.
- Opioid analgesics, while effective, have limitations due to side effects.
- Alternative pain management strategies are needed for pediatric surgical patients.
Purpose of the Study:
- To evaluate the efficacy of transverse abdominis plane (TAP) block in managing pain intensity and frequency after appendectomy in pediatric patients.
- To compare postoperative pain scores in children receiving TAP block versus standard care.
Main Methods:
- A single-blinded clinical trial involving 40 children (4-16 years) undergoing appendectomy.
- Randomized assignment to either an intervention group (ultrasound-guided TAP block with bupivacaine) or a control group.
- Postoperative pain assessment using the Wong-Baker FACES Pain Rating Scale (WBFP) within 24 hours.
Main Results:
- A reduction in WBFP pain scores was observed at 2 hours post-appendectomy in the TAP block group compared to the control group (5.05 vs 6.30).
- Overall pain intensity within 24 hours showed a trend towards reduction with TAP block (3.10 vs 3.60), but the difference was not statistically significant (P > 0.05).
Conclusions:
- Ultrasound-guided transverse abdominis plane (TAP) block appears effective in alleviating immediate postoperative pain after pediatric appendectomy.
- No statistically significant difference in overall pain reduction was found between the TAP block and control groups within 24 hours.
- Larger sample size studies are warranted to confirm the long-term efficacy and statistical significance of TAP block for pediatric appendectomy pain management.
Background:
Pain control after surgery in children is very important. Despite having good analgesic effects, the use of opioids is, however, limited due to side effects.
Objectives:
This study was aimed to investigate the effect of transverse abdominis plane (TAP) block on the intensity and frequency of pain after appendectomy in children.
Methods:
In a single-blinded clinical trial, 40 children aged from 4 to 16 years, candidates for the appendectomy, were divided randomly to intervention and control groups. The intervention group received ultrasound-guided TAP block using 0.25 mL/kg of 0.25% bupivacaine in the Petit triangle after general anesthesia. Postoperative pain was assessed within the first 24 hours after surgery based on the Wong-Baker FACES Pain Rating Scale (WBFP).
Results:
There was a reduction in WBFP scores at 2 hours after appendectomy in the intervention group compared with the control group (5.05 ± 2.83 vs 6.30 ± 2.2063). Also, the pain intensity within 24 hours after surgery in the intervention and control groups was 3.10 ± 1.33, and 3.60 ± 1.63 respectively according to WBFP scale (P > 0.05).
Conclusions:
The TAP block was effective to reduce pain after appendectomy in children, however, there was no significant difference between intervention and control groups. Further studies with larger sample sizes are needed to be done in this area of research.
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