Comparison of ultrasound-guided transversus abdominis plane block, quadratus lumborum block, and caudal epidural block for perioperative analgesia in pediatric lower abdominal surgery
MetadataShow full item record
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.
İpek C., Kara D., Yılmaz S., Yeşiltaş S., Esen A., Dooply S., Karaaslan K., Türköz A., -Comparison of ultrasound-guided transversus abdominis plane block, quadratus lumborum block, and caudal epidural block for perioperative analgesia in pediatric lower abdominal surgery-, Turkish journal of medical sciences, cilt.49, ss.1395-1402, 2019
Showing items related by title, author, creator and subject.
BAKAN, Mefkur; Uslu, FATMA BETÜL; OZTURK, Erdogan; Esen, ASIM; DOGAN, Zafer; IDIN, Kadir (2014-03-01)Lumbar plexus block (LPB) is a suitable method for elder patients for lower extremity surgery. Many complications could be seen during LPB, but not as many as central block. In this case report, we aimed to report a total ...
Hızal, Gürkan; Tunca, Ümit; Erdogan, Elif; Demirel, A. Levent; Dag, Aydan; Durmaz, Hakan (2010-01-01)The synthesis of multiarm star block (and mixed-block) copolymers are efficiently prepared by using Cu(I) catalyzed azide-alkyne click reaction and the arm-first approach. alpha-Silyl protected alkyne polystyrene ...
Our performance of supraclavicular, intercostobrachial and lateral femoral cutaneous block in a patient with high risk undergoing malign melanoma surgery on the forearm YEŞİLTAŞ, SERDAR; TÜRKÖZ, AYDA; KARAASLAN, KAZİM; DAŞKAYA, HAYRETTİN (2018-01-01)