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RECRUITING
NCT07301528
NA

Comparison of ESP and QL Blocks for Postoperative Pain in Pediatric Appendectomy (ESP-QLB)

Sponsor: Zeycan Kahya

View on ClinicalTrials.gov

Summary

This prospective randomized controlled clinical trial aims to compare the analgesic effectiveness of the Erector Spinae Plane (ESP) block and the Quadratus Lumborum (QL) block in pediatric patients undergoing appendectomy. Both regional anesthesia techniques have been shown to reduce opioid requirements and improve postoperative recovery in children; however, there is limited evidence directly comparing their efficacy. In this study, eligible participants will be randomly assigned to receive either an ESP or a QL block in addition to standard general anesthesia before surgical incision. Postoperative outcomes will include pain scores, total opioid consumption, time to first analgesic requirement, mobilization time, parental satisfaction, length of hospital stay, block-related complications and block performance time. The findings are expected to guide clinicians in selecting the most effective regional anesthesia technique for postoperative pain control in pediatric appendectomy.

Official title: Comparative Effects of Erector Spinae Plane and Quadratus Lumborum Blocks on Postoperative Pain and Analgesic Requirement in Pediatric Appendectomy: A Prospective Randomized Controlled Trial

Key Details

Gender

All

Age Range

3 Years - 13 Years

Study Type

INTERVENTIONAL

Enrollment

60

Start Date

2025-12-12

Completion Date

2026-04-15

Last Updated

2026-01-14

Healthy Volunteers

No

Interventions

DRUG

Quadratus Lumborum Block (QLB)

Ultrasound-guided transmuscular QL block performed under general anesthesia using 0.25% bupivacaine (0.5 mL/kg) before surgical incision.

DRUG

Erector Spinae Plane Block

Ultrasound-guided ESP block at the L1 level under general anesthesia using 0.25% bupivacaine (0.5 mL/kg) before surgical incision.

Locations (2)

Kutahya City Hospital Anesthesia and Reanimation Department

Kütahya, Kütahya, Turkey (Türkiye)

Kutahya City Hospital

Kütahya, Turkey (Türkiye)