Lap-guided vs Us-guided TAP Block in Pediatric Laparoscopy
Trial Parameters
Brief Summary
Transversus Abdominis Plane (TAP) block is commonly used to control pain in laparoscopic procedures. It is usually administered with ultrasound guide but it can be also administered with laparoscopic assistance under direct visualization. Aim of the present study is determining if the lap-assisted TAP is superior to the us-guided TAP Block in pain control in the immediate postoperative phase as well at 1 and 6 hours post surgery.
Eligibility Criteria
Inclusion Criteria: * Age\<= 18 yrs * Elective or urgent laparoscopic surgical procedures including hernia repair, appendectomy, cholecystectomy, piloromyotomy, Nissen fundoplication, varicocelectomy * ASA Status I and II Exclusion Criteria: * absence of parental consent * ASA Status III-VI * Presence of neurological disability affecting spontaneous mobility * Previous surgical procedures on the abdominal wall (e.g. gastroschisis repair) * Foreseen surgical duration bigger than 4 hours * Conversion to laparotomy * Use of concomitant other regional anesthesia technique (e.g. neuraxial or peripheral)