Transversus Abdominis Plane Versus Quadratus Lumborum Block for Pediatrics
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- time to first use of analgesic
Study Overview
Brief Summary
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 of trunk block; Transversus abdominis plane 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.
Detailed Description
Children aged 1-7 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 Transversus abdominis plane block at the begin of surgery.
All patients will be in the lateral position . Under ultrasound guidance a 22 Gauge, Pajunk Sonoplex(medical Germany) needle will be used for both techniques. The spread of injectate will be seed on ultrasound.The dose of local anaesthetic in both groups will be 0.5 ml/kg 0.2 % Bupivacaine. Anesthesia would be maintained with 2% sevoflurane An increase in blood pressure or heart rate by more than 15% from preoperative value was defined as insufficient analgesia and was treated with fentanyl 0.5 µ/kg. Saline dextrose 5% (1:1) solution was infused in a dose of 12 ml/ kg /h.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- Triple (Participant, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 1 Year to 7 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •ASA physical status I-II
- •undergoing unilateral low abdominal surgery
Exclusion Criteria
- •history of allergic reactions to local anesthetics
- •rash or infection at the injection site
- •anatomical abnormality
- •bleeding diatheses, coagulopathy, liver diseases
Arms & Interventions
Quadratus Lumborum Block
Quadratus Lumborum block group (QL) patients will receive unilaterally Quadratus Lumborum block using Bupivacaine 0.2 %
Intervention: Quadratus Lumborum Block (Procedure)
Transversus abdominis plane block
Transversus abdominis plane block (TAP) patients will receive unilaterally TAP block using Bupivacaine 0.2 %
Intervention: Transversus Abdominis Plane Block (Procedure)
Outcomes
Primary Outcomes
time to first use of analgesic
Time Frame: 24 hour
By investigators until hospital discharge, then through telephone interview with parents after that
Secondary Outcomes
- Parent satisfaction scores(24 hour)
- Total paracetamol consumption(24 hour)
- FLACC (face, legs, activity, cry, consolability)(1,2,4,6,12,24 hour)
Investigators
Gözen Öksüz
Associate Professor
Kahramanmaras Sutcu Imam University