Low vs Medium Pressure Pneumoperitoneum

Launched by UNIVERSITY CHILDREN'S HOSPITAL, ZURICH · Jun 30, 2021

Keywords

ClinConnect Summary

This clinical trial is investigating how the pressure used during a type of surgery called laparoscopic surgery affects pain levels after the procedure in children with acute appendicitis. The researchers want to see if using lower pressure results in less pain after surgery compared to medium pressure. This study is open to children aged 5 years and older who weigh at least 15 kg and are scheduled for this surgery. It's important that their parents or guardians agree to let them participate and that the children are in stable health.

If your child is eligible and decides to join the trial, they can expect to undergo the usual laparoscopic surgery for appendicitis. The study will help doctors learn more about managing pain after surgery, which can improve recovery for future patients. Additionally, it's essential that the child and their family can understand the information provided, as this will help everyone feel comfortable during the process.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Prepped and consented for diagnostic laparoscopy for likely acute appendicitis
• • 5 years or older
• • 15 kg or more
• • Parents/legal custodian give consent, patient shows no signs of unwillingness to participate
• • Patient is hemodynamically stable
• Exclusion Criteria:
• • Clinical signs of four quadrant peritonitis as a clinical sign of perforated appendicitis
• • Suspected perityphlitic abscess on preoperative ultrasound
• • Preexisting conditions making postoperative assessment of extent of pain and its localization very difficult or impossible, e.g. conditions that are associated with pronounced developmental delays or with communication difficulties
• • Parents have inadequate knowledge of German language to understand Informed consent
• • Child has inadequate knowledge of German language to allow elicitation of Pain Scores