Comparison of quadratus lumborum block and caudal block for postoperative analgesia in pediatric patients undergoing inguinal hernia repair and orchiopexy surgeries: a randomized controlled trial
| Autor: | Şeyma Tekşen, Ahmet Gokhan Guler, Aykut Urfalıoğlu, Hafize Öksüz, Bora Bilal, Gözen Öksüz, Mahmut Arslan |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Analgesic Hernia Inguinal Anesthesia General law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Double-Blind Method 030202 anesthesiology law medicine Humans Pain Management Orchiopexy 030212 general & internal medicine Prospective Studies Anesthetics Local Child Pain Postoperative business.industry Ethics committee Infant Nerve Block General Medicine Middle Aged medicine.disease Surgery Inguinal hernia Anesthesiology and Pain Medicine Child Preschool FLACC scale Caudal epidural Female Analgesia business Anesthesia Caudal Parent satisfaction |
| Zdroj: | Regional anesthesia and pain medicine. 45(3) |
| ISSN: | 1532-8651 |
| Popis: | Background and objectivesCaudal epidural anesthesia is a widely used popular technique for postoperative analgesia but it has potential side effects and duration of analgesia is short. Quadratus lumborum block (QLB) was found to be an effective method for postoperative analgesia in lower abdominal surgeries. In this double-blind prospective randomized trial, we aimed to compare the postoperative analgesic efficacies of QLB and the caudal block in pediatric patients undergoing inguinal hernia repair and orchiopexy surgeries under general anesthesia.Materials and methodsAfter approval was obtained from the ethics committee, in this prospective randomized double-blind trial, 53 patients under general anesthesia undergoing inguinal hernia repair and orchiopexy surgeries randomly received caudal block or QLB. Demographic data, postoperative analgesic requirement, Face, Legs, Activity, Cry, and Consolability (FLACC) scores at 30 min, 1, 2, 4, 6, 12 and 24 hours, parent satisfaction scores and complications were recorded.ResultsThe study included 52 patients, after excluding one patient because of a failed caudal block. There were no significant differences between the groups based on demographic data (p>0.05). The number of patients who required analgesics in the first 24 hours was significantly lower in QLB group (p=0.001). Postoperative 4, 6, 12 hours FLACC scores were significantly lower in the QLB group (pConclusionAccording to the results of this study, QLB can provide much more effective analgesia than caudal block without adjuvants in multimodal analgesia management of children undergoing inguinal hernia repair and orchiopexy surgeries.Trial registration numberNCT03294291. |
| Databáze: | OpenAIRE |
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