Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Trial Review
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Download to PDF
Trial registered on ANZCTR
Registration number
ACTRN12612001074886
Ethics application status
Approved
Date submitted
4/10/2012
Date registered
8/10/2012
Date last updated
8/04/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
Ultrasound-guided transversus abdominis plane block versus caudal block for pain relief in children
Query!
Scientific title
Ultrasound-guided transversus abdominis plane block versus caudal block for postoperative pain control in children undergoing groin surgery
Query!
Secondary ID [1]
281343
0
Nil
Query!
Universal Trial Number (UTN)
U1111-1135-4777
Query!
Trial acronym
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Postoperative Pain
Anesthesia
287569
0
Query!
Condition category
Condition code
Anaesthesiology
287895
287895
0
0
Query!
Pain management
Query!
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
Anesthesia will be induced with sevoflurane and followed by placement of a laryngeal mask airway. Then a single Ultrasound-guided transversus abdominis plane block will be administered with levobupivacaine 0.25% 0.4mL/kg
Query!
Intervention code [1]
285809
0
Treatment: Drugs
Query!
Comparator / control treatment
Anesthesia will be induced with sevoflurane and followed by placement of a laryngeal mask airway. Then a single caudal block be administered with levobupivacaine 0.25% 1mL/kg
Query!
Control group
Active
Query!
Outcomes
Primary outcome [1]
288107
0
Time to first rescue medication
Query!
Assessment method [1]
288107
0
Query!
Timepoint [1]
288107
0
From the data of intervention until the data of the first registration of a CHIPPS scores larger than 3, assessed up to 24h
Query!
Primary outcome [2]
288108
0
the number of patients not requiring rescue analgesia
Query!
Assessment method [2]
288108
0
Query!
Timepoint [2]
288108
0
After surgery, up to 24h
Query!
Secondary outcome [1]
299441
0
Postoperative pain intensity
The quality of postoperative pain control was assessed by the Children and Infants Postoperative Pain Scale (CHIPPS)
Query!
Assessment method [1]
299441
0
Query!
Timepoint [1]
299441
0
after surgery, 30min for first 4h, hourly for the next 4h and thereafter every 2h, assessed up to 24h
Query!
Secondary outcome [2]
299442
0
the incidence of emergence agitation
The incidence of emergence agitation was evaluated by the Pediatric Anesthesia Emergence Delirium Scale(PAED)
Query!
Assessment method [2]
299442
0
Query!
Timepoint [2]
299442
0
Participants will be followed for the duration of PACU stay, an expected average of 2 h.
Query!
Secondary outcome [3]
299443
0
Residual motor block
The degree of motor blockade was assessed using a modified Bromage scale
Query!
Assessment method [3]
299443
0
Query!
Timepoint [3]
299443
0
After awake,participants will be followed every 30min for the first 2h, hourly for the next 4h
Query!
Secondary outcome [4]
299444
0
the sedation score
Sedation was assessed using the Modified Ramsay Sedation Score
Query!
Assessment method [4]
299444
0
Query!
Timepoint [4]
299444
0
After surgery,every 15min for the first 2 h and every 30min for the next 2h.
Query!
Secondary outcome [5]
299445
0
Side effects including bradycardia, hypotension, hypoxemia, nausea, vomiting and urinary retention
Query!
Assessment method [5]
299445
0
Query!
Timepoint [5]
299445
0
From the administration of the transversus abdominis plane / caudal block until the end of study period, assessed up to postoperative 24h
Query!
Eligibility
Key inclusion criteria
ASA ststus I-II aged 2-5yr undergoing unilateral inguinal hernia repair
Query!
Minimum age
2
Years
Query!
Query!
Maximum age
5
Years
Query!
Query!
Sex
Males
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
Hypersensitivity to any local anesthetics
Infections at puncture sites
Bleeding diathesis
Preexisting neurological disease
Query!
Study design
Purpose of the study
Treatment
Query!
Allocation to intervention
Randomised controlled trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation was concealed by sealed opaque envelopes that were opened by a nurse not involved with the care of the individuals.
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomization table created by a computer software
Query!
Masking / blinding
Blinded (masking used)
Query!
Who is / are masked / blinded?
Query!
Query!
Query!
Query!
Intervention assignment
Parallel
Query!
Other design features
Query!
Phase
Phase 2
Query!
Type of endpoint/s
Efficacy
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Completed
Query!
Date of first participant enrolment
Anticipated
8/10/2012
Query!
Actual
9/10/2012
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
5/03/2013
Query!
Date of last data collection
Anticipated
Query!
Actual
Query!
Sample size
Target
80
Query!
Accrual to date
Query!
Final
Query!
Recruitment outside Australia
Country [1]
4585
0
China
Query!
State/province [1]
4585
0
Fujian
Query!
Funding & Sponsors
Funding source category [1]
286108
0
Self funded/Unfunded
Query!
Name [1]
286108
0
Yusheng Yao
Query!
Address [1]
286108
0
No.134 Dongjie Street, Fuzhou, Fujian, China, 350001
Query!
Country [1]
286108
0
China
Query!
Funding source category [2]
286109
0
Self funded/Unfunded
Query!
Name [2]
286109
0
Yanqing Chen
Query!
Address [2]
286109
0
No.134 Dongjie Street, Fuzhou, Fujian, China, 350001
Query!
Country [2]
286109
0
China
Query!
Primary sponsor type
Individual
Query!
Name
Yusheng Yao
Query!
Address
No.134 Dongjie Street, Fuzhou, Fujian, China, 350001
Query!
Country
China
Query!
Secondary sponsor category [1]
284921
0
Individual
Query!
Name [1]
284921
0
Yanqing Chen
Query!
Address [1]
284921
0
No.134 Dongjie Street, Fuzhou, Fujian, China, 350001
Query!
Country [1]
284921
0
China
Query!
Other collaborator category [1]
277114
0
Individual
Query!
Name [1]
277114
0
Lin Tan
Query!
Address [1]
277114
0
NO.37, Guoxue Alley, Chengdu, Sichuan, China,610041
Query!
Country [1]
277114
0
China
Query!
Ethics approval
Ethics application status
Approved
Query!
Ethics committee name [1]
288156
0
Medical Ethics Committee of Fujian Provincial Hospital
Query!
Ethics committee address [1]
288156
0
No.134, Dongjie Street, Fuzhou, Fujian, China,350001
Query!
Ethics committee country [1]
288156
0
China
Query!
Date submitted for ethics approval [1]
288156
0
11/09/2012
Query!
Approval date [1]
288156
0
27/09/2012
Query!
Ethics approval number [1]
288156
0
FJ20120927
Query!
Summary
Brief summary
Caudal block (CB) is the gold standard technique for analgesia in children undergoing surgical interventions in the groin. Although the efficacy and the safety of this technique is high, nonetheless, there are several caveats such as unwarranted motor blockade of the lower limbs and disturbances of the bladder function, potentially resulting in delayed demission in the ambulatory setting. An alternative method to block neural structures which innervate lower abdominal wall has been described: the transverse abdominal plane block. The ultrasound guided technique improves the safety of margin. However, although this new technique seems to offer substantial advantages so far only experience from small case series are available. In particular, the TAP block has not been compared in a systematic trial with the "gold standard", the caudal block. The aim of this study is to evaluate potential differences in the effectiveness of postoperative analgesia and to test the hypotheses that the duration of pain relieve is prolonged after a TAP block when compared with an epidural caudal technique.
Query!
Trial website
Query!
Trial related presentations / publications
Query!
Public notes
Query!
Contacts
Principal investigator
Name
34792
0
Dr Yusheng Yao
Query!
Address
34792
0
No.134, Dongjie Street, Fuzhou, Fujian,China,350001
Query!
Country
34792
0
China
Query!
Phone
34792
0
+86 13559939629
Query!
Fax
34792
0
Query!
Email
34792
0
[email protected]
Query!
Contact person for public queries
Name
18039
0
Yanqing Chen
Query!
Address
18039
0
No.134, Dongjie Street, Fuzhou, Fujian,China,350001
Query!
Country
18039
0
China
Query!
Phone
18039
0
+86 591-87557768-7096
Query!
Fax
18039
0
Query!
Email
18039
0
[email protected]
Query!
Contact person for scientific queries
Name
8967
0
Yusheng Yao
Query!
Address
8967
0
No.134, Dongjie Street, Fuzhou, Fujian,China,350001
Query!
Country
8967
0
China
Query!
Phone
8967
0
+86 13559939629
Query!
Fax
8967
0
Query!
Email
8967
0
[email protected]
Query!
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF