Quadratus Lumborum Block in Pediatric Patients

NCT03693222 | Completed

• 1 other identifier: BakirkoySadiKonuk
• Study Type: interventional
• Target: 40
• Locations: 0 countries
• Sites: N/A

Brief Summary

Quadratus lumborum block (QLB) is a newly-defined trunk block performed with local anesthetic injection by imaging the abdominal muscles with ultrasonography (US) guidance; thus, analgesia is expected to be ensured from the T7-L1 dermatomal segment level. In the study, the aim was to compare the postoperative analgesic effect of quadratus lumborum block in pediatric patients undergoing lower abdominal surgery

Conditions

Postoperative Pain

Keywords

Quadratus lumborum block, abdominal trunk block

Outcome Measures

Primary Outcomes (1)

• postoperative total analgesic amounts in 24 hours

  the number of analgesic requirements

  how many times in 24 hours

Secondary Outcomes (1)

• first analgesic requirement times

  in 24 hours

Study Arms (2)

tramadol use

EXPERIMENTAL

Cases were assessed as intravenous opioid with 1 mg/kg tramadol hydrochloride

Drug: Tramadol Hydrochloride; Drug: Morphine Sulfate

quadratus lumborum block

EXPERIMENTAL

Cases were assessed asquadratus lumborum block for postoperative analgesia

Drug: Tramadol Hydrochloride; Drug: Morphine Sulfate

Interventions

Tramadol Hydrochloride DRUG

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.

quadratus lumborum block; tramadol use

Morphine Sulfate DRUG

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.

quadratus lumborum block; tramadol use

Eligibility Criteria

• Age: 3 Years - 16 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• The study included 40 cases undergoing lower abdominal surgery aged from 3 to 16 years with ASA (American Society of Anesthesiologist) I-II level.

You may not qualify if:

• Cases with ASA III-IV health level and those with a history of allergy to local anesthetic medications were not included in the study.

Sponsors & Collaborators

• Bakirkoy Dr. Sadi Konuk Research and Training Hospital: lead

MeSH Terms

Conditions

Pain, Postoperative

Interventions

Tramadol; Morphine

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Intervention Hierarchy (Ancestors)

Cyclohexanols; Hexanols; Fatty Alcohols; Alcohols; Organic Chemicals; Dimethylamines; Methylamines; Amines; Lipids; Morphine Derivatives; Morphinans; Opiate Alkaloids; Alkaloids; Heterocyclic Compounds; Heterocyclic Compounds, Bridged-Ring; Heterocyclic Compounds, 4 or More Rings; Heterocyclic Compounds, Fused-Ring; Phenanthrenes; Polycyclic Aromatic Hydrocarbons; Polycyclic Compounds

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: The investigator's study is a prospective, randomized, double-blind study.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Model Details: Patients included in the study were randomly divided into 2 groups. Cases were assessed as intravenous opioid with 1 mg/kg tramadol HCl (Group O, n=20) or ultrasonography-guided quadratus lumborum block (Group B, n=20).

Study Record Dates

• First Submitted: August 7, 2018
• First Posted: October 2, 2018
• Study Start: May 15, 2016
• Primary Completion: November 15, 2016
• Study Completion: November 15, 2016
• Last Updated: October 4, 2018

Record last verified: 2018-08

Data Sharing

• IPD Sharing: Will not share