Transversus Abdominis Plane Block and Quadratus Lumborum Block in Pediatric Patients

Study Overview
=================
Brief Summary
-----------------
In the pediatric age group, postoperative pain is very important for the children to have a comfortable and problem-free postoperative period. In the present study, it was aimed to compare the postoperative analgesic efficacy of Transversus abdominis plane (TAP) Block, and quadratus lumborum block (QLB) Type 1 on the pediatric patients

Detailed Description
-----------------
Patients included in the study were randomly divided into 2 groups. Cases were assessed ultrasonography-guided TAP block (Group B, n=20) or ultrasonography-guided QL Block. Total analgesic amounts in 24 hours and first analgesic requirement times recorded.

Official Title
-----------------
Transversus Abdominis Plane Block Versus Quadratus Lumborum Block for Postoperative Analgesia in Pediatric Patients; a Prospective, Randomized, Controlled Study

Conditions
-----------------
Pain, Postoperative

Intervention / Treatment
-----------------
* Drug: Tramadol hydrochloride


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: The study included 40 cases undergoing lower abdominal surgery aged from 3 to 16 years with American Society of Anesthesiologist I-II level. Exclusion Criteria: Cases with American Society of Anesthesiologist III-IV health level and those with a history of allergy to local anesthetic medications were not included in the study

Ages Eligible for Study
-----------------
Minimum Age: 3 Years
Maximum Age: 16 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: TAP Block<br>Cases were assessed transversus abdominis plane block for postoperative analgesia | Drug: Tramadol hydrochloride<br>* The Wong-Baker facial pain scale was used to assess pain (1: no pain, 10: worst possible pain). During monitoring patients with pain score ≥3 had intravenous 1 mg/kg tramadol hydrochloride administered, After 15 minutes following tramadol injection, cases with pain score continuing ≥3 were to be assessed as insufficient analgesia and had 0.1 mg/kg morphine hydrochloride planned for intravenous administration<br>* Other names: morphine hydrochloride;|
| Experimental: QL Block<br>Cases were assessed quadratus lumborum block for postoperative analgesia | Drug: Tramadol hydrochloride<br>* The Wong-Baker facial pain scale was used to assess pain (1: no pain, 10: worst possible pain). During monitoring patients with pain score ≥3 had intravenous 1 mg/kg tramadol hydrochloride administered, After 15 minutes following tramadol injection, cases with pain score continuing ≥3 were to be assessed as insufficient analgesia and had 0.1 mg/kg morphine hydrochloride planned for intravenous administration<br>* Other names: morphine hydrochloride;|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the analgesic use of the groups in 24 hours | the number of analgesic requirements | how many times in 24 hours | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
quadratus lumborum block, pediatric anesthesia, transverse abdominal block