ESPB vs QLB for Analgesia in Pediatric Major Abdominal Surgeries

Erector Spinae Plane Block Versus Quadratus Luborum Block for Peri-Operative Analgesia in Major Abdominal Surgeries in Pediatric Patients; a Randomized Controlled Study

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

PACTR

Registry ID

PACTR202008747853344

Enrollment

Registered

2020-08-14

Start date

2019-01-01

Completion date

Unknown

Last updated

2026-08-03

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

Conditions

Paediatrics Anaesthesia

Interventions

QLB group

ESPB group

LWI group

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Children age starting from 4 to12 years. Genders eligible for study: both sexes. ASA I-II. Scheduled to undergo a unilateral major abdominal surgery (e.g. spleenectomy , nephrectomy , colostomy closure etc)

Exclusion criteria

Exclusion criteria: Refusal of participation by parents or caregivers Patients requiring emergency procedures. Known local anesthetic (LA) drug sensitivity Bleeding disorders with INR > 1.5 and/or platelets < 100,000/mm3. Skin lesions or wounds at site of proposed needle insertion. Evidence of peritonitis or septicemia. Hepatic disease or enlargement. Children with congenital heart disease.

Design outcomes

Primary

Measure	Time frame
Time in minutes to 1st request of rescue analgesia in PACU and defined by pain score ?4/10.	—

Secondary

Measure	Time frame
Pain score assessed by Wong-Baker Faces Scale . Score ranges from 0 to 10 with 0 means no pain and 10 means worst pain imaginable.;Block failure rate where the block was considered a failed block when the patient required more than two doses of rescue analgesia in the first hour postoperatively. ;Number of doses of rescue analgesia ;Onset and incidence of complications, such as: - Intraoperative bradycardia (decrease in heart rate ? 20% of baseline value), hypotension (decrease in systolic blood pressure ? 20% baseline value) - Postoperative nausea and vomiting, urinary retention (inability to pass urine even once during the first 24 hours), lower limb weakness - Injury to the underlying structures (injury to the liver or a viscus), or hematoma formation as recorded under ultrasound guidance - Need of postoperative mechanical ventilation or ICU admission - LA toxicity.;Hemodynamic parameters (heart rate, systolic and mean arterial blood pressure)	—

Measure

Time frame

Pain score assessed by Wong-Baker Faces Scale . Score ranges from 0 to 10 with 0 means no pain and 10 means worst pain imaginable.;Block failure rate where the block was considered a failed block when the patient required more than two doses of rescue analgesia in the first hour postoperatively. ;Number of doses of rescue analgesia ;Onset and incidence of complications, such as: - Intraoperative bradycardia (decrease in heart rate ? 20% of baseline value), hypotension (decrease in systolic blood pressure ? 20% baseline value) - Postoperative nausea and vomiting, urinary retention (inability to pass urine even once during the first 24 hours), lower limb weakness - Injury to the underlying structures (injury to the liver or a viscus), or hematoma formation as recorded under ultrasound guidance - Need of postoperative mechanical ventilation or ICU admission - LA toxicity.;Hemodynamic parameters (heart rate, systolic and mean arterial blood pressure)

—

Countries

Egypt

Contacts

Public ContactAhmad Hussein

Msc assistant lecture Faculty of Medicine Cairo Univerity

ahmadhussien057@gmail.com+201229550989

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Aug 9, 2026