Transversus Abdominis Plane Block Versus Quoadratus Lumborum Block on Infants

Sisli Hamidiye Etfal Training and Research Hospital60 enrolled

Overview

we aimed to compare the effects of TAPB and QLB on postoperative pain score and analgesic consumption in infants who underwent unilateral inguinal hernia surgery.

Infants are more sensitive to the side effects of general anesthesia than older children. This may be associated with the incomplete maturation of organ systems effective in pharmacodynamics. Regional anesthesia applications provide safe and effective analgesia by reducing the need for opioids. Regional anesthesia applications in infants require experience and complication rates due to central blocks are high. However, in recent years, the use of ultrasound (USG) has increased the use of safe and effective trunk blocks. There are studies on the use of Transversus Abdominis Plan Block (TAPB) and Quadratus Lumborum Block (QLB) in children. However, there is no comparative study on its use in infants. In our study, we aimed to compare the effects of TAPB and QLB on postoperative pain score and analgesic consumption in infants who underwent unilateral inguinal hernia surgery.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Transversus Abdominis Plane Block Quoadratus Lumborum Block

Interventions

transversus abdominis plane blockPROCEDURE

The transversus abdominis plane (TAP) block was first introduced by Rafi et al. in 2001 as a landmark-guided technique via the triangle of Petit to achieve a field block. It involves the injection of a local anesthetic solution into a plane between the internal oblique muscle and transversus abdominis muscle. Since the thoracolumbar nerves originating from the T6 to L1 spinal roots run into this plane and supply sensory nerves to the anterolateral abdominal wall , the local anesthetic spread in this plane can block the neural afferents and provide analgesia to the anterolateral abdominal wall.

quoadratus lumborum blockPROCEDURE

quoadratus lumborum block

Eligibility

Sex: ALLMin age: 1 MonthMax age: 12 Months

Medical Language ↔ Plain English

Inclusion Criteria: * 1 month to 1 year * who were scheduled for unilateral inguinal hernia operation * American Society of Anesthesiologists (ASA) physical score I-II Exclusion Criteria: * Patients with ASA II-IV * coagulopathy * skin infection at the block application site * bupivacaine allergy * bilateral inguinal hernia operation * additional operation in different region * laparoscopic inguinal hernia operation * younger than 1 month * with a history of prematurity

Locations (1)

Sisli Etfal Research and Training Hospital

Istanbul, Turkey (Türkiye)

RECRUITING

Outcomes

Primary Outcomes

FLACC

Face, Legs, Activitiy, Cry, Consolability score

Time frame: up to 24 hours

first analgesic need times

time of first analgesic need after surgery

Time frame: up to 24 hours

Secondary Outcomes

frequency of need for analgesics

Frequency of analgesic requirement in the first 24 hours after the operation

Time frame: up to 24 hours

complications

post-operative anesthetic complications

Time frame: up to 24 hours

Data from ClinicalTrials.gov

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