TFPB vs QLB III in Infra-umbilical Pediatric Surgeries - Trial NCT05671484

Timeline & Enrollment

Primary Outcome

Total dose of paracetamol consumption

Summary

Regional anesthetic techniques; they reduce postoperative morbidity, provide early
 mobilization and provide great advantages by significantly reducing the need for narcotic
 analgesics. Regional anesthetic techniques are widely used in our clinic for postoperative
 analgesia, especially in infants and children. In patients undergoing lower abdominal
 surgery, postoperative analgesia is usually provided by systemic opioids and neuraxial
 methods. Complications such as sedation, respiratory depression, itching, nausea, vomiting
 and possible paraplegia or bleeding of neuraxial methods due to the use of opioids seem to be
 the biggest disadvantages of these two methods. Transversalis fascial plane (TFP) block is a
 regional anesthesia technique that provides intraoperative and postoperative analgesia as an
 alternative to caudal and epidural analgesia, especially in children. Transversalis fascial
 plane (TFP) block was first described in 2009. TFP block has been shown to be effective as an
 alternative to epidural analgesia and as part of a multimodal postoperative analgesic
 approach in lower abdominal and pelvic surgeries in children. Quadratus lumborum block (QLB)
 is a widely used regional anesthesia technique. It is used in pediatric patients to reduce
 postoperative pain in supraumbilical or infraumbilical surgeries. As a common result of all
 approaches, the main effect in quadratus lumborum block is anesthesia of the lateral
 cutaneous branches. In our center, the investigators have been using both methods, alone or
 in combination, routinely for a long time, and the investigators aim to compare the two
 methods in this study. This study consists of comparing two domain blocks known as part of
 multimodal analgesia.

ICD-10 Classifications