Postoperative Pain
Conditions
Brief summary
The purpose of this research study is to find the best way to decrease pain in children whom have had low abdominal surgery. Investigators will perform two technique;Caudal block or Quadratus lumborum block .The method used is often chosen by which one the doctor has more experience using. The Investigator plans to find out if one of the methods is more effective and/or safer than the other method. The results of this study will help learn how to best control pain in children having surgery low abdominal surgery.
Detailed description
Children aged 1-9 years undergoing lower abdominal surgeries would be recruited in this randomized study. Children would be monitored by electrocardiogram, pulse oximeter and non-invasive blood pressure. After preoxygenation for three minutes, anesthesia would be induced with 8% sevoflurane inhalation in 50% oxygen and % 50 air ; 1ug/kg fentanyl and 3 mg/kg propofol is administered intravenously. Then laryngeal mask is inserted when conditions are satisfactory (jaw relaxed, lash reflex disappeared, no coughing, gagging, swallowing).After ethical committee approval, informed written consent will be obtained from all patients. Consenting patients scheduled to have unilaterally low abdominal surgery(inguinal hernia,hydrocele,undescended testicles surgery will be randomised to unilateral Quadratus lumborum block or caudal block at the begin of surgery. All patients heart rate,MAP and Oxygen saturation record intraoperatively. All patients will receive paracetamol if requirement for postoperative analgesia.All patient will transfer from PACU to day-surgery unit (DSU) if they achieved Modified Aldrete Score of ten. All patients will be assessed postoperatively by a blinded investigator: in the postanesthesia care unit and at 30 min 1,2, 4, 6, 12, 24, hour postoperatively.FLACC and Modified Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) score will be used.
Interventions
PROCEDUREQuadratus lumborum block
Postoperative pain procedure
PROCEDURECaudal block
Postoperative pain procedure
Sponsors
Kahramanmaras Sutcu Imam University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
All Children will be randomly assigned to one of 2 groups of 25 patients each using a computer-generated number table.
Eligibility
Sex/Gender
ALL
Age
1 Years to 9 Years
Healthy volunteers
No
Inclusion criteria
1. Age 1-9 2. ASA physical status I-II 3. Undergoing unilateral low abdominal surgery
Exclusion criteria
1. History of developmental delay or mental retardation, which will make observational pain intensity assessment difficult 2. Parent refusal 3. History of allergic reactions to local anesthetics 4. Rash or infection at the injection site 5. Anatomical abnormality 6. Bleeding diatheses 7. Coagulopathy, 8. History of diseases 1. renal 2. hepatic 3. cardiac 4. upper or lower airway 5. neurological
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Use of analgesic consumption | 24 hour | paracetamol |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Flacc score( face, legs, activity, cry, consolability) | 1,2,4,6,12,24 hou | By investigators until hospital discharge, then through telephone interview with parents after that |
| Parent satisfaction scores | 24 hour | By investigators until hospital discharge, then through telephone interview with parents after that |
| Time to first use of analgesic | 24 hour | By investigators until hospital discharge, then through telephone interview with parents after that |
Countries
Turkey (Türkiye)
Outcome results
None listed