Erector Spinae Plane Block Versus Quadratus Lumborum Block for Postoperative Analgesia in Children

Not Applicable

Completed

• Conditions: Postoperative Pain
• Interventions: Procedure: Erector Spinae Plane Block; Procedure: Quadratus Lumborum Block; Drug: Bupivacaine (Block Drug)

• Registration Number: NCT03463382
• Lead Sponsor: Kocaeli University

Brief Summary

Postoperative pain management in children is still standing as a problem to solve. Effect of quadratus lumborum block has been shown to be a promising technique to overcome postoperative pain in children undergoing low abdominal surgeries. Erector spinae plane block is a new defined relatively safer and easier regional anesthesia technique which could be used for this purpose. Primary aim of this double blinded randomized controlled trial is to compare the analgesic efficacy of this two block techniques in this group of pediatric patients.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2018-02-28
• Study Start: 2018-03-12
• Study First Submitted QC: 2018-03-12
• Study First Posted: 2018-03-13
• Status Verified: 2018-11
• Primary Completion: 2018-11-01
• Study Completion: 2018-11-01
• Last Update Submitted: 2018-11-12
• Last Update Posted: 2018-11-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• 1-7 years of age
• ASA I-II
• Undergoing elective low abdominal surgery

Exclusion Criteria

• infection of the skin at the site of needle puncture area
• patients with known allergies to any of the study drugs
• coagulopathy
• ASA III-IV
• Patients with neurological disorders

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
QLB Group	Bupivacaine (Block Drug)	Quadratus Lumborum Block Group Block Drug: 0,25% bupivacaine 0,5ml/kg (max.20ml) were used for blocks
ESP Group	Erector Spinae Plane Block	Erector Spinae Plane Block Group Block Drug: 0,25% bupivacaine 0,5ml/kg (max.20ml) were used for blocks
ESP Group	Bupivacaine (Block Drug)	Erector Spinae Plane Block Group Block Drug: 0,25% bupivacaine 0,5ml/kg (max.20ml) were used for blocks
QLB Group	Quadratus Lumborum Block	Quadratus Lumborum Block Group Block Drug: 0,25% bupivacaine 0,5ml/kg (max.20ml) were used for blocks

Primary Outcome Measures

Name	Time	Method
Pain scores	Postoperative first 6hours	FLACC scale will be used. The Face, Legs, Activity, Cry, Consolability scale or FLACC scale is a measurement used to assess pain for children between the ages of 2 months and 7 years or individuals that are unable to communicate their pain. The scale is scored in a range of 0-10 with 0 representing no pain. The scale has five criteria, which are each assigned a score of 0, 1 or 2.

Secondary Outcome Measures

Name	Time	Method
Time to first analgesic drug	first 48 hour	Time to first analgesic drug will be recorded
Need for analgesic	24 hour	Number of patients who required analgesic in the first 24 hour

Trial Locations

Locations (1)

Kocaeli University Hospital; 🇹🇷 İzmit, Kocaeli, Turkey