Ultrasound Guided Quadratus Lumborum Block Versus Caudal Block in Pediatric Patient

Kahramanmaras Sutcu Imam University52 enrolled

Overview

The purpose of this research study is to find the best way to decrease pain in children whom have had low abdominal surgery. Investigators will perform two technique;Caudal block or Quadratus lumborum block .The method used is often chosen by which one the doctor has more experience using. The Investigator plans to find out if one of the methods is more effective and/or safer than the other method. The results of this study will help learn how to best control pain in children having surgery low abdominal surgery.

Children aged 1-9 years undergoing lower abdominal surgeries would be recruited in this randomized study. Children would be monitored by electrocardiogram, pulse oximeter and non-invasive blood pressure. After preoxygenation for three minutes, anesthesia would be induced with 8% sevoflurane inhalation in 50% oxygen and % 50 air ; 1ug/kg fentanyl and 3 mg/kg propofol is administered intravenously. Then laryngeal mask is inserted when conditions are satisfactory (jaw relaxed, lash reflex disappeared, no coughing, gagging, swallowing).After ethical committee approval, informed written consent will be obtained from all patients. Consenting patients scheduled to have unilaterally low abdominal surgery(inguinal hernia,hydrocele,undescended testicles surgery will be randomised to unilateral Quadratus lumborum block or caudal block at the begin of surgery. All patients heart rate,MAP and Oxygen saturation record intraoperatively. All patients will receive paracetamol if requirement for postoperative analgesia.All patient will transfer from PACU to day-surgery unit (DSU) if they achieved Modified Aldrete Score of ten. All patients will be assessed postoperatively by a blinded investigator: in the postanesthesia care unit and at 30 min 1,2, 4, 6, 12, 24, hour postoperatively.FLACC and Modified Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) score will be used.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Postoperative Pain

Interventions

Quadratus lumborum blockPROCEDURE

Postoperative pain procedure

Caudal blockPROCEDURE

Postoperative pain procedure

Eligibility

Sex: ALLMin age: 1 YearMax age: 9 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age 1-9 2. ASA physical status I-II 3. Undergoing unilateral low abdominal surgery Exclusion Criteria: 1. History of developmental delay or mental retardation, which will make observational pain intensity assessment difficult 2. Parent refusal 3. History of allergic reactions to local anesthetics 4. Rash or infection at the injection site 5. Anatomical abnormality 6. Bleeding diatheses 7. Coagulopathy, 8. History of diseases 1. renal 2. hepatic 3. cardiac 4. upper or lower airway 5. neurological

Locations (1)

KahramanmarasSIU

Kahramanmaraş, Turkey (Türkiye)

Outcomes

Primary Outcomes

Use of analgesic consumption

paracetamol

Time frame: 24 hour

Secondary Outcomes

Flacc score( face, legs, activity, cry, consolability)

By investigators until hospital discharge, then through telephone interview with parents after that

Time frame: 1,2,4,6,12,24 hou

Parent satisfaction scores

By investigators until hospital discharge, then through telephone interview with parents after that

Time frame: 24 hour

Time to first use of analgesic

By investigators until hospital discharge, then through telephone interview with parents after that

Time frame: 24 hour

Data from ClinicalTrials.gov

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