💬In plain words
What the trial is, and whether it could suit you
To compare the postoperative analgesic efficacy of ultrasound-guided Quadratus Lumborum Block (anterior approach) versus Erector Spinae Plane Block (T10-T12 level), both performed bilaterally with 0.25% bupivacaine (0.5 mL/kg per side), in the first 24 hours postoperatively in children undergoing elective open lower abdominal surgery under general anesthesia.
Sign in to get the eligibility rules as simple questions to take to your doctor.
📋 Eligibility rules (as published)
Inclusion Criteria:
* Age: 2 to 7 years.
* ASA Physical Status Classification I or II .
* Scheduled for elective minor open lower abdominal surgery (bilateral inguinal hernia repair, orchiopexy, circumcision, bilateral hydrocele repair), pyeloplasty and ureteric reimplantation.
* Weight between 10 and 25 kg.
Exclusion Criteria
* Known allergy or hypersensitivity to local anesthetics (amide class).
* Contraindications to regional anesthesia: coagulopathy (INR \> 1.5, platelets \< 80,000/mm³), local infection at the injection site, or raised intracranial pressure.
* Pre-existing neurological, neuromuscular, or spinal disorders.
* Significant hepatic dysfunction (Child-Pugh Class B or C) or severe renal impairment (eGFR \< 30 mL/min/1.73 m²).
* Previous abdominal or retroperitoneal surgery which likely to distort fascial planes at the injection site.
* Emergency or redo surgical procedures.
* Inability to assess postoperative pain due to pre-existing developmental or cognitive impairment preventing validated pain scale use.
* Intraoperative conversion from open to laparoscopic approach (post-randomization exclusion criterion).
💊
What it tests
- ultrasound guided anterior oudratus lumborum block
- Ultrasound guided erector spinae plane block
Menoufia University
Alexandria, Egypt
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
HealthTeky