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Comparison between ultrasound guided transmuscular QL block and Fascia iliaca block in pediatric patients undergoing DDH surgery regarding the quality of pain control in the perioperative period..
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group F: ultrasound guided fascia iliaca block group | Active Comparator |
| |
| Group Q: ultrasound guided quadratus lumborum block group | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ultrasound guided fascia iliaca block | Procedure | ultrasound guided fascia iliaca block anesthetizes variable combinations of the femoral nerve , lateral femoral cutaneous nerve , and obturator nerve, and is effective for many painful hip surgeries making it potentially useful for analgesia following Developmental Dysplasia of Hip (DDH) surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Total 12 hours postoperative opioid consumption | amount of morphine consumed as rescue analgesia in first 12 hours | from the time of transfer of the patient to the pacu at one hour intervals for 12 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain using Face, Legs, Activity, Cry, Consolability scale (FLACC ) pain rating scale | pain score of paitients in the post operative period | from the time of transfer to the PACU, every hour for the first 24 hours postoperative] |
| Side effects |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sherif M. Soaida, MD | Contact | +201223663504 | sherif_soaida@kasralainy.edu.eg |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of medicine Cairo university | Recruiting | Cairo | Egypt |
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| ID | Term |
|---|---|
| D000082602 | Developmental Dysplasia of the Hip |
| ID | Term |
|---|---|
| D006617 | Hip Dislocation |
| D004204 | Joint Dislocations |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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|
| ultrasound guided quadratus lumborum block | Procedure | ultrasound-guided quadratus lumborum (QL) block provides perioperative somatic, even visceral analgesia for patients including pediatrics, undergoing abdominal or hip surgery. The local anesthetic injected adjacently into the quadrates lumborum muscle spreads in a medial and cranial direction under the crura and arcuate ligaments of the diaphragm, then into the thoracic paravertebral space anesthetizing the hip region |
|
respiratory depression and postoperative nausea and vomiting |
| from the time of transfer to the PACU, for the first 24 hours postoperative |
| Total 24 hours postoperative opioid consumption | amount of morphine consumed as rescue analgesia in first 24hours | from the time of transfer of the patient to the pacu at one hour intervals for 24hours |
| D009139 |
| Musculoskeletal Abnormalities |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |