Developmental Dysplasia of the Hip
Conditions
Keywords
ultrasound, quadratus lumborum, fascia iliaca
Brief summary
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..
Interventions
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.
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
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
2 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* Children aged 2-12 years * Of both sexes * American society of anesthesiologist (ASA) physical status classification class I * Undergoing general anaesthesia for DDH surgery
Exclusion criteria
* Parents' refusal of regional block * Duration of surgery over 120 min. * History of allergy to local anesthetics * Bleeding disorders (INR \>1.4, Platelet count\< 75000)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total 12 hours postoperative opioid consumption | from the time of transfer of the patient to the pacu at one hour intervals for 12 hours | amount of morphine consumed as rescue analgesia in first 12 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain using Face, Legs, Activity, Cry, Consolability scale (FLACC ) pain rating scale | from the time of transfer to the PACU, every hour for the first 24 hours postoperative] | pain score of paitients in the post operative period |
| Side effects | from the time of transfer to the PACU, for the first 24 hours postoperative | respiratory depression and postoperative nausea and vomiting |
| Total 24 hours postoperative opioid consumption | from the time of transfer of the patient to the pacu at one hour intervals for 24hours | amount of morphine consumed as rescue analgesia in first 24hours |
Countries
Egypt
Contacts
Primary ContactSherif M. Soaida, MD
Outcome results
None listed