Ultrasound Quadratus Lumborum Block Vs Fascia Iliaca Block in Pediatrics Undergoing Hip Surgery .

Developmental Dysplasia of the Hip Clinical Trial

Official title:

Ultrasound Guided Quadratus Lumborum Block Versus Fascia Iliaca Block in Pediatric Patients Undergoing Developmental Dysplasia of Hip Surgical Repair. A Randomized Comparative Study

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05282849
• Other study ID #: SMS2022-1
• Status: Recruiting
• Phase: N/A
• Start date: April 4, 2022
• Est. completion date: June 15, 2022

Study information

• Verified date: April 2022
• Source: Cairo University
• Contact: Sherif M. Soaida, MD
• Phone: +201223663504
• Email: sherif_soaida[@]kasralainy.edu.eg
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Comparison between ultrasound guided transmuscular QL block and Fascia iliaca block in pediatric patients undergoing DDH surgery regarding the quality of pain control in the perioperative period..

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 30
• Est. completion date: June 15, 2022
• Est. primary completion date: June 1, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 2 Years to 12 Years

Eligibility

Inclusion Criteria:

• Children aged 2-12 years

• Of both sexes

• American society of anesthesiologist (ASA) physical status classification class I

• Undergoing general anaesthesia for DDH surgery

Exclusion Criteria:

• Parents' refusal of regional block

• Duration of surgery over 120 min.

• History of allergy to local anesthetics

• Bleeding disorders (INR >1.4, Platelet count< 75000)

Related Conditions & MeSH terms

• Developmental Dysplasia of the Hip
• Hip Dislocation, Congenital

Intervention

Procedure:
• ultrasound guided fascia iliaca block
ultrasound guided fascia iliaca block anesthetizes variable combinations of the femoral nerve , lateral femoral cutaneous nerve , and obturator nerve, and is effective for many painful hip surgeries making it potentially useful for analgesia following Developmental Dysplasia of Hip (DDH) surgery.
• ultrasound guided quadratus lumborum block
ultrasound-guided quadratus lumborum (QL) block provides perioperative somatic, even visceral analgesia for patients including pediatrics, undergoing abdominal or hip surgery. The local anesthetic injected adjacently into the quadrates lumborum muscle spreads in a medial and cranial direction under the crura and arcuate ligaments of the diaphragm, then into the thoracic paravertebral space anesthetizing the hip region

Locations

Country	Name	City	State
Egypt	Faculty of medicine Cairo university	Cairo

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Total 12 hours postoperative opioid consumption	amount of morphine consumed as rescue analgesia in first 12 hours	from the time of transfer of the patient to the pacu at one hour intervals for 12 hours
Secondary	Postoperative pain using Face, Legs, Activity, Cry, Consolability scale (FLACC ) pain rating scale	pain score of paitients in the post operative period	from the time of transfer to the PACU, every hour for the first 24 hours postoperative]
Secondary	Side effects	respiratory depression and postoperative nausea and vomiting	from the time of transfer to the PACU, for the first 24 hours postoperative
Secondary	Total 24 hours postoperative opioid consumption	amount of morphine consumed as rescue analgesia in first 24hours	from the time of transfer of the patient to the pacu at one hour intervals for 24hours