Quadratus Lumborum Block for Pediatric Hip Surgery
Hip Dislocation, Congenital, Postoperative Pain, Anesthesia
About this trial
This is an interventional treatment trial for Hip Dislocation, Congenital focused on measuring hip dislocation, regional anesthesia, surgery
Eligibility Criteria
Inclusion Criteria:
- Patients aged 2 to 7 years old
- Weight ≤ 20 Kg
- American Society of Anesthesiologists (ASA) physical status I or II
- Planned to undergo unilateral open hip reduction/osteotomies
Exclusion Criteria:
- Cerebral palsy with severe intellectual disability
- Coagulation disorders
- Local or general infection
- Allergy to amide local anesthetics.
- Progressive neurological disorders
- Parenteral refusal
- Spinal dysraphism
- Cutaneous anomalies (angioma, hair truft, naevus or a dimple)near to the puncture
Sites / Locations
- Institut Kassab D'OrthopedieRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
CAUDAL BLOCK
anterior Quadratus lumborum block
Sonosite machine (M-Turbo) equipped with a large bandwidth, a multifrequency linear probe (6-19 MHz) and needle of diameter and length respectively between 22G and 25G, 35mm and 40mm according to the child's size (Braun).The patient is positioned laterally with their hips flexed to 90°. The sacral hiatus is forming with the two posterior superior iliac spines an equilateral triangle. The puncture is performed between the two sacral cornuae. The sacrococcygeal ligament gives a perceptible 'pop' when crossed. After crossing the sacro-coccygeal ligament, the needle is redirected 30° to the skin surface, and then advanced a few millimeters into sacral canal. After verifying absence of spontaneous reflux of blood or cerebrospinal fluid, slowly injection of Ropivacaine 0.25% 1ml/ kg
Sonosite machine (M-Turbo) equipped with a large bandwidth, a multifrequency linear probe (6-19 MHz) and a 22G, 50-mm, insulated facet type needle (BBraun Stimuplex Ultra 360°). Patients were placed in the lateral position, a probe was placed transversely to the abdominal flank. The needle was inserted using an in-plane technique and was preceded further into the fascia between the QLM and PM. Following confirmation of the correct space with the administration of 0.5-1 ml local anesthetic, block was induced with 1 ml/kg, 0.25% Ropivacaine,