Quoadratus Lumborum Block, Transversus Abdominis Plane Block
Conditions
Keywords
infant, analgesic efficiency, Regional anesthesia
Brief summary
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.
Detailed description
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.
Interventions
PROCEDUREtransversus abdominis plane block
The transversus abdominis plane (TAP) block was first introduced by Rafi et al. in 2001 as a landmark-guided technique via the triangle of Petit to achieve a field block. It involves the injection of a local anesthetic solution into a plane between the internal oblique muscle and transversus abdominis muscle. Since the thoracolumbar nerves originating from the T6 to L1 spinal roots run into this plane and supply sensory nerves to the anterolateral abdominal wall , the local anesthetic spread in this plane can block the neural afferents and provide analgesia to the anterolateral abdominal wall.
PROCEDUREquoadratus lumborum block
quoadratus lumborum block
Sponsors
Sisli Hamidiye Etfal Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Months to 12 Months
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| FLACC | up to 24 hours | Face, Legs, Activitiy, Cry, Consolability score |
| first analgesic need times | up to 24 hours | time of first analgesic need after surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| frequency of need for analgesics | up to 24 hours | Frequency of analgesic requirement in the first 24 hours after the operation |
| complications | up to 24 hours | post-operative anesthetic complications |
Countries
Turkey (Türkiye)
Outcome results
None listed