Transversus Abdominis Plane Block Versus Quoadratus Lumborum Block on Infants

Sisli Hamidiye Etfal Training and Research Hospital

Status: Unknown

Conditions: Quoadratus Lumborum Block; Transversus Abdominis Plane Block

Treatments: Procedure: quoadratus lumborum block; Procedure: transversus abdominis plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT04927624

33334

Details and patient eligibility

About

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.

Full 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.

Enrollment: 60 estimated patients

Sex: All

Ages: 1 to 12 months old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

transversus abdominis plane

Active Comparator group

Description:

In the group in which Transversus Abdominis Plan Block was applied, the patient was placed in the supine position. After skin antisepsis was achieved with 10% povidone iodine, the USG probe was placed transversely between the iliac crest and the anterolateral abdominal wall. After visualizing the external-internal obliq and transversus abdominis muscles, 0.5 ml/kg of 0.25% bupivacaine was injected after negative aspiration by advancing the needle into the fascia between the internal obliq muscle and the transversus abdominis muscle with the in-plane technique.

Treatment:

Procedure: transversus abdominis plane block

quoadratus lumborum block

Active Comparator group

Description:

In the Quadratus Lumborum Block (Lateral approach) group, the patient was placed in the lateral position with the side to be blocked on top. After skin antisepsis was achieved with 10% povidone iodine, the USG probe was placed transversely between the iliac crest and costa edge. After visualizing the extarnal-internal obliq and transversus abdominis muscles, the probe was advanced posteriorly. Quadratus lumborum muscle and thoracolumbar fascia were visualized. The needle was advanced to the anterolateral border of the quadratus lumborum muscle with the in-plane technique and 0.5 ml/kg of 0.25% bupivacaine was injected after negative aspiration.

Treatment:

Procedure: quoadratus lumborum block