Comparison of Postoperative Analgesic Efficiency of Transversus Abdominis Plane Block and Quoadratus Lumborum Block on Infants Who Underwent Single Sided Inguinal Hernia Repair: A Randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- FLACC
研究概览
简要总结
we aimed to compare the effects of TAPB and QLB on postoperative pain score and analgesic consumption in infants who underwent unilateral inguinal hernia surgery.
详细描述
Infants are more sensitive to the side effects of general anesthesia than older children. This may be associated with the incomplete maturation of organ systems effective in pharmacodynamics. Regional anesthesia applications provide safe and effective analgesia by reducing the need for opioids. Regional anesthesia applications in infants require experience and complication rates due to central blocks are high. However, in recent years, the use of ultrasound (USG) has increased the use of safe and effective trunk blocks. There are studies on the use of Transversus Abdominis Plan Block (TAPB) and Quadratus Lumborum Block (QLB) in children. However, there is no comparative study on its use in infants.
In our study, we aimed to compare the effects of TAPB and QLB on postoperative pain score and analgesic consumption in infants who underwent unilateral inguinal hernia surgery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 1 Month 至 12 Months（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •1 month to 1 year
- •who were scheduled for unilateral inguinal hernia operation
- •American Society of Anesthesiologists (ASA) physical score I-II
排除标准
- •Patients with ASA II-IV
- •coagulopathy
- •skin infection at the block application site
- •bupivacaine allergy
- •bilateral inguinal hernia operation
- •additional operation in different region
- •laparoscopic inguinal hernia operation
- •younger than 1 month
- •with a history of prematurity
结局指标
主要结局
FLACC
时间窗: up to 24 hours
Face, Legs, Activitiy, Cry, Consolability score
first analgesic need times
时间窗: up to 24 hours
time of first analgesic need after surgery
次要结局
- complications(up to 24 hours)
- frequency of need for analgesics(up to 24 hours)
研究者
Pinar Ay Sayin
specialist medical doctor
Sisli Hamidiye Etfal Training and Research Hospital