ESPB vs QLB for Analgesia in Pediatric Major Abdominal Surgeries
Not Applicable
- Conditions
- PaediatricsAnaesthesia
- Registration Number
- PACTR202008747853344
- Lead Sponsor
- Kasr Alainy Hospital Faculty of Medicine Cairo Univesity
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 36
Inclusion Criteria
Children age starting from 4 to12 years.
Genders eligible for study: both sexes.
ASA I-II.
Scheduled to undergo a unilateral major abdominal surgery (e.g.
spleenectomy , nephrectomy , colostomy closure etc)
Exclusion Criteria
Refusal of participation by parents or caregivers
Patients requiring emergency procedures.
Known local anesthetic (LA) drug sensitivity
Bleeding disorders with INR > 1.5 and/or platelets < 100,000/mm3.
Skin lesions or wounds at site of proposed needle insertion.
Evidence of peritonitis or septicemia.
Hepatic disease or enlargement.
Children with congenital heart disease.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Time in minutes to 1st request of rescue analgesia in PACU and defined by pain score ?4/10.
- Secondary Outcome Measures
Name Time Method Pain score assessed by Wong-Baker Faces Scale . Score ranges from 0 to 10 <br>with 0 means no pain and 10 means worst pain imaginable.;Block failure rate where the block was considered a failed block when the patient required more than two doses of rescue analgesia in the first hour postoperatively. ;Number of doses of rescue analgesia ;Onset and incidence of complications, such as:<br>- Intraoperative bradycardia (decrease in heart rate ? 20% of <br>baseline value), hypotension (decrease in systolic blood<br>pressure ? 20% baseline value)<br>- Postoperative nausea and vomiting, urinary retention<br>(inability to pass urine even once during the first 24 hours), <br>lower limb weakness<br>- Injury to the underlying structures (injury to the liver or a <br>viscus), or hematoma formation as recorded under <br>ultrasound guidance<br>- Need of postoperative mechanical ventilation or ICU <br>admission<br>- LA toxicity.;Hemodynamic parameters (heart rate, systolic and mean arterial <br>blood pressure)