Ultrasound Guided Quadratus Lumborum Block Compared to Caudal Bupivacaine/ Neostigmine in Pediatric Lower Abdominal Surgeries

Ultrasound Guided Quadratus Lumborum Block Compared to Caudal Bupivacaine/ Neostigmine in Pediatric Lower Abdominal Surgeries, a Randomized Controlled Trial

The aim of this study is to compare the postoperative pain control in children undergoing lower abdominal surgeries receiving QL block with those receiving caudal bupivacaine/ neostigmine.

Inclusion Criteria:

• Patients American Society of Anesthesiologists physical status (ASA) I or II.
• Consent from parents or legal guardian(s).
• Lower abdominal surgeries.

Exclusion Criteria:

• Parents' refusal or legal guardian's refusal.

  • Infection at the injection site.
  • Known allergy to bupivacaine and/or neostigmine.
  • Contraindications to regional anesthesia (including coagulopathy and local infection).
  • Anatomical anomalies at the site of the block.