Transversus Abdominis Plane Block Versus Quoadratus Lumborum Block on Infants

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

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.

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.

Inclusion Criteria:

• 1 month to 1 year
• who were scheduled for unilateral inguinal hernia operation
• American Society of Anesthesiologists (ASA) physical score I-II

Exclusion Criteria:

• 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