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Quadratus Lumborum Block in Pediatric Patients

Primary Purpose

Postoperative Pain

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Tramadol Hydrochloride
Morphine Sulfate
Sponsored by
Bakirkoy Dr. Sadi Konuk Research and Training Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Postoperative Pain focused on measuring Quadratus lumborum block, abdominal trunk block

Eligibility Criteria

3 Years - 16 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • The study included 40 cases undergoing lower abdominal surgery aged from 3 to 16 years with ASA (American Society of Anesthesiologist) I-II level.

Exclusion Criteria:

  • Cases with ASA III-IV health level and those with a history of allergy to local anesthetic medications were not included in the study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    tramadol use

    quadratus lumborum block

    Arm Description

    Cases were assessed as intravenous opioid with 1 mg/kg tramadol hydrochloride

    Cases were assessed asquadratus lumborum block for postoperative analgesia

    Outcomes

    Primary Outcome Measures

    postoperative total analgesic amounts in 24 hours
    the number of analgesic requirements

    Secondary Outcome Measures

    first analgesic requirement times
    first analgesic requirement times (hours)

    Full Information

    First Posted
    August 7, 2018
    Last Updated
    October 3, 2018
    Sponsor
    Bakirkoy Dr. Sadi Konuk Research and Training Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03693222
    Brief Title
    Quadratus Lumborum Block in Pediatric Patients
    Official Title
    Effect of Quadratus Lumborum Block on Postoperative Analgesic Requirements in Pediatric Patients: A Randomized Controlled Double Blinded Study
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2018
    Overall Recruitment Status
    Completed
    Study Start Date
    May 15, 2016 (Actual)
    Primary Completion Date
    November 15, 2016 (Actual)
    Study Completion Date
    November 15, 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Bakirkoy Dr. Sadi Konuk Research and Training Hospital

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Quadratus lumborum block (QLB) is a newly-defined trunk block performed with local anesthetic injection by imaging the abdominal muscles with ultrasonography (US) guidance; thus, analgesia is expected to be ensured from the T7-L1 dermatomal segment level. In the study, the aim was to compare the postoperative analgesic effect of quadratus lumborum block in pediatric patients undergoing lower abdominal surgery
    Detailed Description
    Patients included in the study were randomly divided into 2 groups. Cases were assessed as intravenous opioid with 1 mg/kg tramadol HCl (Group O, n=20) or ultrasonography-guided quadratus lumborum block (Group B, n=20). Total analgesic amounts in 24 hours and first analgesic requirement times recorded.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Postoperative Pain
    Keywords
    Quadratus lumborum block, abdominal trunk block

    7. Study Design

    Primary Purpose
    Other
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Model Description
    Patients included in the study were randomly divided into 2 groups. Cases were assessed as intravenous opioid with 1 mg/kg tramadol HCl (Group O, n=20) or ultrasonography-guided quadratus lumborum block (Group B, n=20).
    Masking
    ParticipantInvestigatorOutcomes Assessor
    Masking Description
    The investigator's study is a prospective, randomized, double-blind study.
    Allocation
    Randomized
    Enrollment
    40 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    tramadol use
    Arm Type
    Experimental
    Arm Description
    Cases were assessed as intravenous opioid with 1 mg/kg tramadol hydrochloride
    Arm Title
    quadratus lumborum block
    Arm Type
    Experimental
    Arm Description
    Cases were assessed asquadratus lumborum block for postoperative analgesia
    Intervention Type
    Drug
    Intervention Name(s)
    Tramadol Hydrochloride
    Intervention Description
    The Wong-Baker facial pain scale was used to assess pain (1: no pain, 10: worst possible pain). During monitoring patients with pain score ≥3 had intravenous 1 mg/kg tramadol hydrochloride administered, After 15 minutes following tramadol injection, cases with pain score continuing ≥3 were to be assessed as insufficient analgesia and had 0.1 mg/kg morphine hydrochloride planned for intravenous administration.
    Intervention Type
    Drug
    Intervention Name(s)
    Morphine Sulfate
    Intervention Description
    The Wong-Baker facial pain scale was used to assess pain (1: no pain, 10: worst possible pain). During monitoring patients with pain score ≥3 had intravenous 1 mg/kg tramadol hydrochloride administered, After 15 minutes following tramadol injection, cases with pain score continuing ≥3 were to be assessed as insufficient analgesia and had 0.1 mg/kg morphine hydrochloride planned for intravenous administration.
    Primary Outcome Measure Information:
    Title
    postoperative total analgesic amounts in 24 hours
    Description
    the number of analgesic requirements
    Time Frame
    how many times in 24 hours
    Secondary Outcome Measure Information:
    Title
    first analgesic requirement times
    Description
    first analgesic requirement times (hours)
    Time Frame
    in 24 hours

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    3 Years
    Maximum Age & Unit of Time
    16 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: The study included 40 cases undergoing lower abdominal surgery aged from 3 to 16 years with ASA (American Society of Anesthesiologist) I-II level. Exclusion Criteria: Cases with ASA III-IV health level and those with a history of allergy to local anesthetic medications were not included in the study.

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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    Quadratus Lumborum Block in Pediatric Patients

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