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Ultrasound-Guided Transversalis Fascia Plane Block Versus Quadratus Lumborum Plane Block for Analgesia After Appendectomy in Pediatrics
Sponsor: Tanta University
Summary
This study aims to compare the effectiveness of ultrasound-guided Transversalis Fascia Plane block versus Quadratus Lumborum block for postoperative pain relief in pediatrics undergoing appendectomy. Primary outcomes: • Proportion of patients needing rescue analgesia within the first 24 postoperative hours. Secondary outcomes: * Visual Analogue Scale pain intensity measurements. * Intraoperative Heart rate and mean arterial blood pressure will be recorded. * Time to first analgesic request for patients needing rescue analgesia (Fentanyl). * Block-related complications (e.g., hematoma, local anesthetic toxicity, lower limb weakness). * Parents' satisfaction score.
Official title: Ultrasound-Guided Transversalis Fascia Plane Block Versus Quadratus Lumborum Plane Block for Analgesia After Appendectomy in Pediatrics: A Prospective Randomized Study
Key Details
Gender
All
Age Range
7 Years - 12 Years
Study Type
INTERVENTIONAL
Enrollment
70
Start Date
2025-06-30
Completion Date
2026-05-20
Last Updated
2026-06-01
Healthy Volunteers
No
Interventions
Transversalis Fascia Plane Block group
35 Patients will receive general anesthesia and ultrasound-guided transversalis fascia plane block in a dose of 0.4 ml/kg of 0.25% bupivacaine administered prior to surgical excision.
Quadratus Lumborum Plane Block group
35 patients will receive general anesthesia and a quadratus lumborum plane block in a dose of 0.4 ml/kg of 0.25% bupivacaine administered prior to surgical excision
Locations (1)
Tanta University
Tanta, Egypt