Ignite Creation Date:
2024-05-06 @ 6:28 PM
Last Modification Date:
2024-10-26 @ 2:48 PM
Study NCT ID:
NCT05671484
Status:
RECRUITING
Last Update Posted:
2023-06-15
First Post:
2022-12-31
Brief Title:
TFPB vs QLB III in Infra-umbilical Pediatric Surgeries
Sponsor:
Namik Kemal University
Organization:
Namik Kemal University
Study Overview
Official Title:
Investigation of the Effects of Transversalis Fascial Plane Block and Quadratus Lumborum Plane Block Applied in Pediatric Infra-umbilical Surgeries on Postoperative Pain and Analgesic Consumption
Status:
RECRUITING
Status Verified Date:
2023-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Regional anesthetic techniques they reduce postoperative morbidity provide early mobilization and provide great advantages by significantly reducing the need for narcotic analgesics Regional anesthetic techniques are widely used in our clinic for postoperative analgesia especially in infants and children In patients undergoing lower abdominal surgery postoperative analgesia is usually provided by systemic opioids and neuraxial methods Complications such as sedation respiratory depression itching nausea vomiting and possible paraplegia or bleeding of neuraxial methods due to the use of opioids seem to be the biggest disadvantages of these two methods Transversalis fascial plane TFP block is a regional anesthesia technique that provides intraoperative and postoperative analgesia as an alternative to caudal and epidural analgesia especially in children Transversalis fascial plane TFP block was first described in 2009 TFP block has been shown to be effective as an alternative to epidural analgesia and as part of a multimodal postoperative analgesic approach in lower abdominal and pelvic surgeries in children Quadratus lumborum block QLB is a widely used regional anesthesia technique It is used in pediatric patients to reduce postoperative pain in supraumbilical or infraumbilical surgeries As a common result of all approaches the main effect in quadratus lumborum block is anesthesia of the lateral cutaneous branches In our center the investigators have been using both methods alone or in combination routinely for a long time and the investigators aim to compare the two methods in this study This study consists of comparing two domain blocks known as part of multimodal analgesia
Detailed Description:
Transversalis fascial plane block and quadratus lumborum block are performed under general anesthesia just before the surgical incision unless there are contraindications for the procedure for every patient scheduled for elective infraumbilical surgery in our center In our study patients will be divided into 2 groups and the effectiveness of trunk plan blocks which are part of multimodal analgesia will be compared In the first group there will be patients who underwent transversalis fascial plane block TFPB alone and in the second group there will be patients who underwent type III quadratus lumborum block QLB Post-operative pain scores with the Face Leg Activity Cry Consolability FLACC score will be recorded in 2-6-12-24th hours Between both groups postoperative analgesia need time of analgesia need presence of nausea and vomiting surgeon and parent satisfaction will be followed up and recorded All patients are operated under general anesthesia General anesthesia is maintained with inhalation anesthesia At the end of the surgery the patient is awakened and taken to the recovery unit In this prospective randomized study the investigators will compare the efficacy of these two blocks which are part of multimodal analgesia with postoperative analgesic consumption Postoperative patient comfort complications demographic findings will be used as data
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None