Erector Spinae Plane Block Versus Quadratus Lumborum Block for Postoperative Analgesia in Children

Erector Spinae Plane Block Versus Quadratus Lumborum Block for Postoperative Analgesia in Children Undergoing Low Abdominal Surgery: A Randomized Controlled Trial

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT03463382

Enrollment

Registered

2018-03-13

Start date

2018-03-12

Completion date

2018-11-01

Last updated

2018-11-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Postoperative Pain

Keywords

Pediatric Surgery, Postoperative Pain, Erector spinae plane block, quadratus lumborum block

Brief summary

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.

Interventions

PROCEDUREErector Spinae Plane Block

Erector Spinae Plane block will be administered under general anesthesia before the surgery

PROCEDUREQuadratus Lumborum Block

Quadratus Lumborum Block will be administered under general anesthesia before the surgery

DRUGBupivacaine (Block Drug)

0,25% Bupivacaine was used 0,5ml/kg (max. 20cc) for block performances

Study design

Allocation

RANDOMIZED

Intervention model

CROSSOVER

Primary purpose

PREVENTION

Masking

DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

1 Years to 7 Years

Healthy volunteers

Inclusion criteria

* 1-7 years of age * ASA I-II * Undergoing elective low abdominal surgery

Exclusion criteria

* infection of the skin at the site of needle puncture area * patients with known allergies to any of the study drugs * coagulopathy * ASA III-IV * Patients with neurological disorders

Design outcomes

Primary

Measure	Time frame	Description
Pain scores	Postoperative first 6hours	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.

Secondary

Measure	Time frame	Description
Time to first analgesic drug	first 48 hour	Time to first analgesic drug will be recorded
Need for analgesic	24 hour	Number of patients who required analgesic in the first 24 hour

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 3, 2026