{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T10:11:35Z","timestamp":1778926295175,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T00:00:00Z","timestamp":1742601600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Perioperative Practice"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>We aimed to assess the impact of the rectus sheath and transversus abdominis plane blocks on postoperative pain alleviation and recovery in children undergoing laparoscopic appendicectomies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Ninety patients got a transversus abdominis plane block and rectus sheath block and were randomly divided into three groups. Each patient had taken 2.5ml of 0.5% bupivacaine (1.25mg\/kg). Group 1: 0.3mg\/kg of dexamethasone was added to the bupivacaine. Group 2: 1\u03bcg\/kg of dexmedetomidine was added to the bupivacaine. Group 3: received only bupivacaine. We recorded analgesic usage overall, postoperative pain score, time until initial analgesic use, side effects and satisfaction score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The dexmedetomidine group had a significantly longer mean time to initial rescue analgesia (13.13\u2009\u00b1\u20092.81) compared to the control and dexamethasone groups (11.6\u2009\u00b1\u20092.99, 7.27\u2009\u00b1\u20092; p\u2009&lt;\u20090.001). Within the first 24 hours following surgery, the dexmedetomidine group consumed considerably less rescue analgesia (490.5\u2009\u00b1\u2009129) than the dexamethasone and control groups (556\u2009\u00b1\u2009210.4, 811.5\u2009\u00b1\u2009333.9; p\u2009&lt;\u20090.0001). With better satisfaction, fewer analgesics were taken, and fewer side effects and lower postoperative pain levels were observed in the dexmedetomidine group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Dexmedetomidine in combined transversus abdominis plane and rectus sheath blocks can enhance postoperative pain relief, decrease analgesic use and hasten postoperative recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17504589241278806","type":"journal-article","created":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T07:00:41Z","timestamp":1742626841000},"page":"380-388","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Perioperative analgesic effect of preemptive ultrasound-guided rectus sheath block and transversus abdominis plane block with dexmedetomidine versus dexamethasone for laparoscopic surgery in paediatrics: A randomised trial"],"prefix":"10.1177","volume":"36","author":[{"given":"Marwa","family":"Mahmoud Abdel Rady","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Intensive Care, Faculty of Medicine, New Valley University and Assiut University, Asyut, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghada A.","family":"EL FADL","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, Faculty of Medicine, New Valley University and Assiut University, Asyut, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hany Ahmed Ibraheem","family":"El-Morabaa","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, Faculty of Medicine, New Valley University and Assiut University, Asyut, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirolos","family":"Gamal Reda","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, Faculty of Medicine, New Valley University and Assiut University, Asyut, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wesam","family":"Nashat Ali","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, Faculty of Medicine, New Valley University and Assiut University, Asyut, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,22]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aet066"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000000983"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/17504589231196653"},{"issue":"9","key":"e_1_3_3_5_1","first-page":"744","article-title":"Transversus abdominis plane block versus caudal block with bupivacaine and dexmedetomidine for 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