Evidence map›Paper›PMID 40979756›Full record

ArticleIndian journal of anaesthesia2025

Analgesic efficacy of ultrasound-guided modified thoracoabdominal nerve block in paediatric upper abdominal surgery: A randomised controlled trial.

Athira Jayan, Amarjeet Kumar, Chandni Sinha, Ajeet Kumar, Poonam Kumari, Amit K Sinha

Abstract read
In one paragraph

Article in Indian journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Athira JayanDepartment of Anaesthesiology, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID https://orcid.org/0009-0005-5434-6888
Amarjeet KumarDepartment of Anaesthesiology, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID https://orcid.org/0000-0002-4272-5750
Chandni SinhaDepartment of Anaesthesiology, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID https://orcid.org/0000-0002-4107-2671
Ajeet KumarDepartment of Anaesthesiology, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID https://orcid.org/0000-0002-1416-6684
Poonam KumariDepartment of Anaesthesiology, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID https://orcid.org/0000-0003-0118-2187
Amit K SinhaDepartment of Paediatric Surgery, All India Institute of Medical Sciences, Patna, Bihar, India.ORCID https://orcid.org/0000-0002-8909-7819

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Adequate pain management is crucial for postoperative recovery in paediatric patients. This study aimed to evaluate the analgesic efficacy of ultrasound (US)-guided modified thoracoabdominal nerve block through perichondrial approach (mTAPA) block in paediatric patients undergoing upper abdominal surgeries. Methods: This randomised controlled trial included 40 paediatric patients aged between 2 and 8 years scheduled for unilateral upper abdominal surgeries. Patients were randomised into two groups: Group I received general anaesthesia (GA) with US-guided mTAPA block (0.5 mL/kg of 0.2% ropivacaine), while Group II received GA only. Intravenous fentanyl 0.5 µg/kg was utilised for perioperative pain management. The primary outcome was to assess intraoperative opioid consumption, whereas secondary outcomes were postoperative pain scores, 24-h opioid consumption, and adverse effects such as nausea and vomiting. The independent Student Results: Patients in Group I had a statistically lower intraoperative median fentanyl consumption of 10.0 µg [range: 0-20, interquartile range (IQR): 0-10] versus 20 µg (range: 5-48, IQR: 20-27) in Group II ( Conclusion: Ultrasound-guided modified thoracoabdominal nerve block through perichondrial approach as an adjunct to general anaesthesia provides effective analgesia by significantly reducing opioid consumption in paediatric patients undergoing upper abdominal surgeries through a unilateral subcostal incision.

Indexed as

Acute postoperative painanaesthesiageneral anaesthesiamodified thoracoabdominal nerve blocknerve blockpaediatricsregional anaesthesiathoracoabdominal nerve blockultrasound

Identifiers

PMID40979756
PMCPMC12445753

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.