Comparison Of Analgesic Efficacy Of Ultrasound guided Caudal Block Versus Posterior Quadratus Lumborum Block In Paediatric Abdominal Surgeries: A Single Centered Randomized Controlled Trial.
Trial Snapshot
- Phase
- Phase 3
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- Comparision of USG guided caudal block with posterior quadratus lumborum block in pediatric patients undergoing lower abdominal surgeries by assessing time to first rescue analgesic in first 24 hour postoperatively.
Study Overview
Brief Summary
The major responsibility of the anesthesiologist is to provide adequate surgical anesthesia and postoperative analgesia for patients with minimum complications .Caudal epidural block is the most commonly performed method of regional anesthesia technique in pediatric group ,owing to its ease of performance ,short learning curve and safety .the most encountered complications are block failure , blood aspiration and intravascular injections.
Quadratus lumborum block entails deposition of the local anesthetic around the fascial planes of the quadratus muscle to block the somatic thoracolumbur nerves and the sympathetic trunk through the paravertebral route, providing extensive spread.
Hence we aim to investigate the analgesic effect of posterior quadratus lumborum block with caudal block in children undergoing lower abdominal surgeries.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Participant and Investigator Blinded
Eligibility Criteria
- Ages
- 6.00 Month(s) to 8.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •PATIENTS UNDERGOING LOWER ABDOMINAL SURGERY OF AGE GROUP BETWEEN 6 MONTHS TO 8 YEARS OF AGE OF EITHER SEX OF ASA CLASS 1 AND 2 ARE INCLUDED FOR THE STUDY.
Exclusion Criteria
- •bleeding disorder.
- •caudal space deformities.
- •parents refusal for regional anaesthesia.
Outcomes
Primary Outcomes
Comparision of USG guided caudal block with posterior quadratus lumborum block in pediatric patients undergoing lower abdominal surgeries by assessing time to first rescue analgesic in first 24 hour postoperatively.
Time Frame: Intra operatively HR,NIBP,MAP,SPO2 at baseline,incision,15 mins,30 mins,45 min after incision. | Post operatively FLACC score at 15 min,30min,1hr,6hr,12hr,18hr,24hr.
Secondary Outcomes
- FLACC score postoperatively at fixed time interval. Total paracetamol consumption, fentanyl consumption in first 24 hour & incidence of failed block.(FLACC@15MIN,30,1HR,6HR,12HR, 18HR,24HR.)
Investigators
Dr. Nidhi Singh
Post Graduate Institute Of Child Health,Noida.