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CompletedNCT06267820Updated Jun 26, 2024

Combined Ketorolac Bupivacaine Versus Bupivacaine Alone for TAP Block in Children Undergoing Lower Abdominal Surgeries

A Phase 2 interventional study of Bupivacain and Ketorolac in Postoperative Pain, Acute, sponsored by Sohag University. Completed at 1 site in Egypt. Open to participants aged 6 Years to 12 Years. Per ClinicalTrials.gov, last updated 2024-06-26.

Sponsored by Sohag University · Phase 2, Interventional, and Health services research

From the registry’s dates

  • Registered 6 months after the study started (first participant enrolled Jun 2023, registered Dec 2023).
Phase
Phase 2
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
6 Years to 12 Years
Sex
All
01

Study summary

Control of of pain in children is fundamental. TAP block is associated with less side effects compared with other neuraxial techniques especially when done under ultrasound guidance.

Ketorolac has analgesic effect comparable to morphine. Children were arranged randomly into two equal groups, forty-five children in each.

Group (K) (n= 45): received ultrasound guided TAP block with bupivacaine 0.25% (0.5 ml/kg) and ketorolac (0.5 mg/kg).

Group (T) (n =45): received ultrasound guided TAP block with bupivacaine 0.25% (0.5 ml/kg)

Read the detailed description

This prospective randomized controlled study were carried out in Sohag university hospitals after getting approval from medical research ethics committee and written informed consents from the patients' parents or legal guardians. This study included 90 ASA status I and II children aged 6-12 years undergoing elective lower abdominal surgeries.Preoperative assessment:

  • History taking from the parents.
  • Complete physical examination.
  • Laboratory investigations: Complete Blood Picture and coagulation profile. Preoperative preparation

Before starting, standard monitoring will be as follow:

  1. Non-invasive blood pressure (systolic and diastolic).
  2. Peripheral Oxygen saturation (SpO2%). After insertion of intravenous line, all children will receive atropine premedication (0.01-0.02 mg/kg). General anesthesia will be induced using propofol 1% (2 mg/kg), atracurium (0.5 mg/kg) to facilitate endotracheal intubation. Anesthesia will be maintained using isoflurane (1-2%) with controlled ventilation.At the end of operation, muscle relaxant is reversed using neostigmine and atropine.

Intraoperative hemodynamic parameters will be recorded throughout the surgery at fixed intervals (at time of skin incision then after every 5 min till the end of surgery).

Then TAP block were done under ultrasound guidance using either bupivacaine and ketorolac or bupivacaine alone

02

Conditions studied

  • Postoperative Pain, Acute

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Keywords

  • TAP
  • ketorolac
  • bupivacaine,
  • ultrasound
  • children
03

In context

Pain, Postoperative

5,093 studies on the registry are indexed under Pain, Postoperative; 1,140 are open to participants now.

This study's enrollment of 90 is above the median of 75 across 4,344 interventional studies indexed under Pain, Postoperative.

Browse Pain, Postoperative studies →

Lead sponsor

Sohag University is the lead sponsor of 1,183 studies on the registry; 612 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • ASA status I and II children Age 6-12 years Elective lower abdominal surgeries.

Exclusion criteria

Exclusion Criteria:

  • Parents' or legal guardians' refusal.
  • A history of developmental delay or mental retardation.
  • ASA III and IV.
  • A known allergy to ketorolac or bupivacaine.
  • Hemodynamic unstable patient
  • Urgent surgeries
05

Study design

Phase
Phase 2
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
90 participants (actual)

Study arms

  • Active comparator
    TAP block with bupivacaine and ketorolac

    Ultrasound guided TAP block with bupivacaine 0.25% (0.5 ml/kg) and ketorolac (0.5 mg/kg).

    Drug: Bupivacain · Drug: Ketorolac

  • Active comparator
    TAP block with bupivacaine

    ultrasound guided TAP block with bupivacaine 0.25% (0.5 ml/kg).

    Drug: Bupivacain

Interventions

  • DrugBupivacain

    analgesia

    Also known as: bupivacaine

  • DrugKetorolac

    analgesia

06

What researchers measure

Primary outcomes

  1. 1st analgesic requirement

    the time at which the 1st need for analgesia is given.

    Time frame: 24 hours

  2. Number of patients who requested analgesia

    Number (percentage)of patients who requested analgesia

    Time frame: 24 hours

Secondary outcomes

  1. heart rate

    the patient vital sign (beats/min)

    Time frame: 24 hours

  2. Total rescue analgesia

    Total rescue analgesia in the first 24 h. postoperatively

    Time frame: 24 hours

  3. Satisfaction of the parents regarding their children analgesia

    using 5- point satisfaction scale (1= Very satisfied, 2=Satisfied,3= Neither satisfied nor dissatisfied,4= Dissatisfied, 5= Very dissatisfied). This satisfaction will be done by parents according to the VAS, incidence of side effects and analgesic requirements

    Time frame: 24 hours

  4. Number of children in each group who required analgesia in the first 24 h postoperatively

    Number of children in each group who required analgesia in the first 24h postoperatively

    Time frame: 24 hours

  5. blood pressure

    The patients blood pressure (mmHg)

    Time frame: 24 hours

07

Study locations

1 site
  • Fouad Ibrahim Soliman
    Sohag, 52514, Egypt
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 26, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06267820
Lead sponsor
Sohag University
Responsible party
Fouad Soliman (Lecturer of Anesthesia and ICU, Sohag University) — Principal investigator
First posted
Feb 20, 2024
Start date
Jun 1, 2023
Primary completion
Dec 1, 2023
Completion
Dec 10, 2023
Last update
Jun 26, 2024

Study contacts

Fouad I Soliman, MD
principal investigator · Sohag University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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