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Comparison of ultrasound-guided transversus abdominis plane block, quadratus lumborum block, and caudal epidural block for perioperative analgesia in pediatric lower abdominal surgery

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dc.contributor.authorKara, D
dc.contributor.authorİpek, CB
dc.contributor.authorEsen, A
dc.contributor.authorYılmaz, S
dc.contributor.authorYeşiltaş, S
dc.contributor.authorTürköz, A
dc.contributor.authorDooply, SSSL
dc.contributor.authorKaraaslan, KAZIM
dc.contributor.institutionauthorKARA, DENİZ
dc.contributor.institutionauthorYEŞİLTAŞ, SERDAR
dc.contributor.institutionauthorESEN, ASIM
dc.contributor.institutionauthorKARAASLAN, KAZıM
dc.contributor.institutionauthorTÜRKÖZ, AYDA
dc.date.accessioned2020-01-14T20:59:40Z
dc.date.available2020-01-14T20:59:40Z
dc.date.issued2019-10-24T00:00:00Z
dc.description.abstractBackground/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.en
dc.identifier.citationİpek 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
dc.identifier.doi10.3906/sag-1812-59
dc.identifier.pubmed31648515
dc.identifier.scopus85074074946
dc.identifier.trdizinhttps://doi.org/10.3906/sag-1812-59
dc.identifier.trdizintrdizin
dc.identifier.urihttps://openaccess.bezmialem.edu.tr/handle/20.500.12645/12738
dc.identifier.wosWOS:000504050500019
dc.rightsinfo:eu-repo/semantics/openAccessen
dc.titleComparison of ultrasound-guided transversus abdominis plane block, quadratus lumborum block, and caudal epidural block for perioperative analgesia in pediatric lower abdominal surgery
dc.typeArticle
dspace.entity.typePublication
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local.publication.isinternational1
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