1. Post operative pain control in child is important 2. Regional block is the one part of multimodal analgesia 3. They are no consensus about the effectiveness of QLB and ESPB in pediatric inguinal hernia surgery 1. Quadratus Lumborum Block (QLB) 2. Erector spinae plane block (ESPB) 3. Multimodal analgesia 4. Pediatric inguinal hernia surgery
Conditions
Interventions
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 1-3 yrs. old 2. ASA Physical status 1-2 3. Undergoing unilateral inguinal hernia surgery at Nan hospital 4. Surgery under anesthesia technique : General anesthesia with LMA with Spontaneous ventilation
Exclusion criteria
Exclusion criteria: 1. Obesity 2. Difficult airway is predicted 3. Allergy to Midazolam, Fentanyl, Propofol, Dexmedeetomidine, Bupivacaine, Acetaminophen, Ondansetron 4. Full stomach 5. Bradycardia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post operative pain control Within 24 hrs. post operative period Average amount of fentanyl for pain control within 24 hrs. post operative period | — |
Secondary
| Measure | Time frame |
|---|---|
| Intra operative and Post operative pain control Intra operative period + 24 hrs. post operative Average amount of fentanyl for pain control within intra operative period + within 24 hrs. post operative period,Intra operative pain control Intra operative period Average amount of fentanyl for pain control within intra operative period,Post operative pain control Within 24 hrs. post operative period Time to 1st rescue dose for post operative pain control (Fentanyl),Post operative pain control Within 24 hrs. post operative period Number of patients who required fentanyl for post operative pain control,Post operative pain control While arrived at PACU FLACC scores while arrived at PACU,Post operative pain control While discharged from PACU FLACC scores while discharged from PACU,Post operative pain control Within 24 hrs. post operative period FLACC scores at 6th, 12th, 18th, 24th Post operative period | — |
Countries
Thailand
Contacts
Department of anesthesia, Nan hospital