Ultrasound Quadratus Lumborum Block Vs Fascia Iliaca Block in Pediatrics Undergoing Hip Surgery .

Study Overview
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Brief Summary
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Comparison between ultrasound guided transmuscular QL block and Fascia iliaca block in pediatric patients undergoing DDH surgery regarding the quality of pain control in the perioperative period..

Official Title
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Ultrasound Guided Quadratus Lumborum Block Versus Fascia Iliaca Block in Pediatric Patients Undergoing Developmental Dysplasia of Hip Surgical Repair. A Randomized Comparative Study

Conditions
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Developmental Dysplasia of the Hip

Intervention / Treatment
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* Procedure: ultrasound guided fascia iliaca block
* Procedure: ultrasound guided quadratus lumborum block


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children aged 2-12 years Of both sexes American society of anesthesiologist (ASA) physical status classification class I Undergoing general anaesthesia for DDH surgery Exclusion Criteria: Parents' refusal of regional block Duration of surgery over 120 min. History of allergy to local anesthetics Bleeding disorders (INR >1.4, Platelet count< 75000)

Ages Eligible for Study
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Minimum Age: 2 Years
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Group F: ultrasound guided fascia iliaca block group<br> | Procedure: ultrasound guided fascia iliaca block<br>* ultrasound guided fascia iliaca block anesthetizes variable combinations of the femoral nerve , lateral femoral cutaneous nerve , and obturator nerve, and is effective for many painful hip surgeries making it potentially useful for analgesia following Developmental Dysplasia of Hip (DDH) surgery.<br>|
| Active Comparator: Group Q: ultrasound guided quadratus lumborum block group<br> | Procedure: ultrasound guided quadratus lumborum block<br>* ultrasound-guided quadratus lumborum (QL) block provides perioperative somatic, even visceral analgesia for patients including pediatrics, undergoing abdominal or hip surgery. The local anesthetic injected adjacently into the quadrates lumborum muscle spreads in a medial and cranial direction under the crura and arcuate ligaments of the diaphragm, then into the thoracic paravertebral space anesthetizing the hip region<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total 12 hours postoperative opioid consumption | amount of morphine consumed as rescue analgesia in first 12 hours | from the time of transfer of the patient to the pacu at one hour intervals for 12 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postoperative pain using Face, Legs, Activity, Cry, Consolability scale (FLACC ) pain rating scale | pain score of paitients in the post operative period | from the time of transfer to the PACU, every hour for the first 24 hours postoperative] | 
| Side effects | respiratory depression and postoperative nausea and vomiting | from the time of transfer to the PACU, for the first 24 hours postoperative | 
| Total 24 hours postoperative opioid consumption | amount of morphine consumed as rescue analgesia in first 24hours | from the time of transfer of the patient to the pacu at one hour intervals for 24hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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ultrasound, quadratus lumborum, fascia iliaca