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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ESP Group | Active Comparator | Erector Spinae Plane Block Group Block Drug: 0,25% bupivacaine 0,5ml/kg (max.20ml) were used for blocks |
|
| QLB Group | Active Comparator | Quadratus Lumborum Block Group Block Drug: 0,25% bupivacaine 0,5ml/kg (max.20ml) were used for blocks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Erector Spinae Plane Block | Procedure | Erector Spinae Plane block will be administered under general anesthesia before the surgery |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain scores | 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. | Postoperative first 6hours |
| Measure | Description | Time Frame |
|---|---|---|
| Time to first analgesic drug | Time to first analgesic drug will be recorded | first 48 hour |
| Need for analgesic | Number of patients who required analgesic in the first 24 hour |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kocaeli University Hospital | İzmit | Kocaeli | 41340 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30851499 | Derived | Aksu C, Sen MC, Akay MA, Baydemir C, Gurkan Y. Erector Spinae Plane Block vs Quadratus Lumborum Block for pediatric lower abdominal surgery: A double blinded, prospective, and randomized trial. J Clin Anesth. 2019 Nov;57:24-28. doi: 10.1016/j.jclinane.2019.03.006. Epub 2019 Mar 6. |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| Quadratus Lumborum Block | Procedure | Quadratus Lumborum Block will be administered under general anesthesia before the surgery |
|
| Bupivacaine (Block Drug) | Drug | 0,25% Bupivacaine was used 0,5ml/kg (max. 20cc) for block performances |
|
| 24 hour |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D000588 |
| Amines |