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Comparison of ESP and QL Blocks for Postoperative Pain in Pediatric Appendectomy (ESP-QLB)
Sponsor: Zeycan Kahya
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
Quadratus Lumborum Block (QLB)
Ultrasound-guided transmuscular QL block performed under general anesthesia using 0.25% bupivacaine (0.5 mL/kg) before surgical incision.
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)