Comparison between ultrasound guided transmuscular QL block and Fascia iliaca block in pediatric patients undergoing DDH surgery regarding the quality of pain control in the perioperative period..
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
30
ultrasound guided fascia iliaca block anesthetizes variable combinations of the femoral nerve , lateral femoral cutaneous nerve , and obturator nerve, and is effective for many painful hip surgeries making it potentially useful for analgesia following Developmental Dysplasia of Hip (DDH) surgery.
ultrasound-guided quadratus lumborum (QL) block provides perioperative somatic, even visceral analgesia for patients including pediatrics, undergoing abdominal or hip surgery. The local anesthetic injected adjacently into the quadrates lumborum muscle spreads in a medial and cranial direction under the crura and arcuate ligaments of the diaphragm, then into the thoracic paravertebral space anesthetizing the hip region
Faculty of medicine Cairo university
Cairo, Egypt
RECRUITINGTotal 12 hours postoperative opioid consumption
amount of morphine consumed as rescue analgesia in first 12 hours
Time frame: from the time of transfer of the patient to the pacu at one hour intervals for 12 hours
Postoperative pain using Face, Legs, Activity, Cry, Consolability scale (FLACC ) pain rating scale
pain score of paitients in the post operative period
Time frame: from the time of transfer to the PACU, every hour for the first 24 hours postoperative]
Side effects
respiratory depression and postoperative nausea and vomiting
Time frame: from the time of transfer to the PACU, for the first 24 hours postoperative
Total 24 hours postoperative opioid consumption
amount of morphine consumed as rescue analgesia in first 24hours
Time frame: from the time of transfer of the patient to the pacu at one hour intervals for 24hours
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