This investigation aims to assess the efficacy of M-TAPA in children undergoinglaparoscopic abdominal surgery.Sixty pediatric patients undergoing laparoscopic abdominal surgery under generalanesthesia will be enrolled in this single-center study. Preoperatively, participantswill be randomly assigned to receive either port-site local anesthetic infiltration orM-TAPA.
This investigation aims to assess the efficacy of M-TAPA in children undergoing
laparoscopic abdominal surgery.
Sixty pediatric patients undergoing laparoscopic abdominal surgery under general
anesthesia will be enrolled in this single-center study. Preoperatively, participants
will be randomly assigned to a port site local anesthetic infiltration. or M-TAPA.
1. port-site local anesthetic infiltration Before the skin incision, the surgeon will
inject 0.17 mL/kg of 0.25% bupivacaine (up to 2 mg/kg) via infiltration into the
skin, subcutaneous tissue, and muscle fascia at the three laparoscopic ports.
2. M-TAPA. Before skin incision, Ultrasound will be used to perform bilateral
M-TAPA.0.25 mL/kg of 0.25% bupivacaine will be administered at each side.
Procedure: port site infiltration
children will receive port site LA infiltration.
Procedure: M-TAPA
Children will receive bilateral M-TAPA regional anesthesia block.
Inclusion Criteria:
- Age (1-7) years.
- Both genders.
- American Society of Anaesthesiologists (ASA) - physical status I-II.
- Children undergoing elective laparoscopic abdominal surgery.
Exclusion Criteria:
- Parental refusal.
- Bleeding disorders with INR > 1.5 and/or platelets < 50 000.
- History of allergic reactions to local anesthetics.
- Rash or signs of infection at the injection site.
Kasralainy Hospital
Cairo, Elmanial, Egypt
Ahmed M Elhaddad, Ass.prof.
01224042847 - 02
drblacksmith@gmail.com
Not Provided