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

NCT05282849 | Unknown

• 1 other identifier: SMS2022-1
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

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..

Conditions

Developmental Dysplasia of the Hip

Keywords

ultrasound; quadratus lumborum; fascia iliaca

Outcome Measures

Primary Outcomes (1)

• 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 Outcomes (3)

• Postoperative pain using Face, Legs, Activity, Cry, Consolability scale (FLACC ) pain rating scale

  from the time of transfer to the PACU, every hour for the first 24 hours postoperative]

• Side effects

  from the time of transfer to the PACU, for the first 24 hours postoperative

• Total 24 hours postoperative opioid consumption

  from the time of transfer of the patient to the pacu at one hour intervals for 24hours

Study Arms (2)

Group F: ultrasound guided fascia iliaca block group

ACTIVE COMPARATOR

Procedure: ultrasound guided fascia iliaca block

Group Q: ultrasound guided quadratus lumborum block group

ACTIVE COMPARATOR

Procedure: ultrasound guided quadratus lumborum block

Interventions

ultrasound guided fascia iliaca block PROCEDURE

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.

Group F: ultrasound guided fascia iliaca block group

ultrasound guided quadratus lumborum block PROCEDURE

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

Group Q: ultrasound guided quadratus lumborum block group

Eligibility Criteria

• Age: 2 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children aged 2-12 years
• Of both sexes
• American society of anesthesiologist (ASA) physical status classification class I
• Undergoing general anaesthesia for DDH surgery

You may not qualify if:

• 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)

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of medicine Cairo university

Cairo, Egypt

RECRUITING

MeSH Terms

Conditions

Developmental Dysplasia of the Hip

Condition Hierarchy (Ancestors)

Hip Dislocation; Joint Dislocations; Joint Diseases; Musculoskeletal Diseases; Musculoskeletal Abnormalities; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities

Central Study Contacts

Sherif M. Soaida, MD

CONTACT

+201223663504; sherif_soaida@kasralainy.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant professor

Study Record Dates

• First Submitted: March 8, 2022
• First Posted: March 16, 2022
• Study Start: April 4, 2022
• Primary Completion: June 1, 2022
• Study Completion: June 15, 2022
• Last Updated: April 15, 2022

Record last verified: 2022-04

Locations

EG (1)