Different postoperative analgesic effects of transversus abdominis plane block with three approaches in pediatric lower abdominal surgery
Bibliographic record
Abstract
Objective To observe the different effect of transversus abdominis plane block (TAP) with three approaches for postoperative analgesia in pediatric lower abdominal surgery. Methods Ninety children with lower abdominal operation from People's Hospital Affiliated to Fujian Chinese Traditional Medicine University from January 2014 to December, aged 1-6 years old, were randomly divided into 3 groups with 30 cases in each: TAP beneath the rib edge in subcostal approach group, TAP from lateral abdomen wall in lateral approach group, and TAP from posterior wall in posterior approach group. The Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) and Ramsay sedation score were used to evaluate the analgesic and sedative effect. Analgesic plane, CHEOPS and Ramsay score were recorded at 4 h, 8 h, 12 h, 16 h and 24 h postoperatively. Nausea, vomit, skin itch, urinary retention, lower limb movement disorder, respiratory depression and other complications were observed and recorded. Results Compared with postoperative 4 h, CHEOPS increased in the subcostal approach group at 12 h after the operation, and increased in the lateral approach group at 16 h and the posterior approach group at 24 h, and Ramsay score decreased at the same time (P 0.05). The incidence of lower limb movement disorder in the subcostal approach group and the lateral approach group was lower compared with the posterior approach group (P<0.05). Conclusion Transversus abdominis plane block with three approaches can all relief the pain effectively in pediatric lower abdominal surgery within 8 h after operation, the effective analgesic time of subcostal approach TAP is shorter than others, and muscle strength of lower limbs is decreased in the posterior approach TAP. Lateral approach of TAP is the most suitable one for analgesic requirement after lower abdominal surgery in children. Key words: Transversus abdominis plane block; Pain,postoperative; Analgesia; Child; Puncture path
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".