AI Article Synopsis
- The study aimed to evaluate the effectiveness of three regional anesthesia techniques—ultrasound-guided transversus abdominis plane (TAP) block, quadratus lumborum (QL) block, and caudal epidural block—on pain management for pediatric patients undergoing elective lower abdominal surgery.
- Ninety-four patients aged 6 months to 14 years were randomly assigned to one of the three anesthesia methods, receiving bupivacaine for pain relief.
- Results showed that the QL block provided better postoperative pain control with lower Pediatric Objective Pain Scale scores and shorter hospital stays compared to the caudal block, making it a recommended option for pediatric perioperative analgesia if resources allow.
Article Abstract
Background/aim: Despite different regional anesthesia techniques used to provide intraoperative and postoperative analgesia in pediatric patients, the analgesic effectiveness of peripheral nerve blockades with minimal side effect profiles have not yet been fully determined. We aimed to compare the efficacy of ultrasound-guided transversus abdominis plane (TAP) block, quadratus lumborum (QL) block, and caudal epidural block on perioperative analgesia in pediatric patients aged between 6 months and 14 years who underwent elective unilateral lower abdominal wall surgery.
Materials And Methods: Ninety-four patients classified under the American Society of Anesthesiologists physical status classification system as ASA I or ASA II were randomly divided into 3 equal groups to perform TAP, QL or Caudal epidural block using 0.25% of bupivacaine solution (0.5 ml kg−1).
Results: Postoperative analgesic consumption was highest in the TAP block group (P < 0.05). In the QL block group, Pediatric Objective Pain Scale (POAS) scores were statistically significantly lower after 2 and 4 h (P < 0.05). The length of hospital stay was significantly longer in the caudal block group than the QL block group (P < 0.05).
Conclusion: We suggest that analgesia with ultrasound-guided QL block should be considered as an option for perioperative analgesia in pediatric patients undergoing lower abdominal surgery if the expertise and equipment are available.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7018333 | PMC |
| http://dx.doi.org/10.3906/sag-1812-59 | DOI Listing |
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