Postoperative analgesic effects of the quadratus lumborum block III and transversalis fascia plane block in paediatric patients with developmental dysplasia of the hip undergoing open reduction surgeries: a double-blinded randomised controlled trial

ObjectiveTo evaluate the analgesic effectiveness of two novel regional nerve blocks in paediatric patients with developmental dysplasia of the hip (DDH) after open reduction surgeries.DesignProspective, double-blinded, randomised controlled trial.Setting2 tertiary teaching hospitals in China between...

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Bibliographic Details
Published in:BMJ open 2021-02, Vol.11 (2), p.e038992-e038992
Main Authors: Huang, Congcong, Zhang, Xiaoguang, Dong, Chaoxuan, Lian, Chunwei, Li, Jun, Yu, Lingzhi
Format: Article
Language:English
Subjects:
Anaesthesia
Anesthetics, Local
Child
Child, Preschool
China
Developmental Dysplasia of the Hip
Fascia
Humans
Nerve Block
paediatric anaesthesia
paediatric plastic & reconstructive surgery
pain management
Pain, Postoperative - drug therapy
Prospective Studies
ultrasound
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Summary:ObjectiveTo evaluate the analgesic effectiveness of two novel regional nerve blocks in paediatric patients with developmental dysplasia of the hip (DDH) after open reduction surgeries.DesignProspective, double-blinded, randomised controlled trial.Setting2 tertiary teaching hospitals in China between August 2017 and July 2018.Participants110 paediatric patients aged 2–10 years with DDH undergoing open reduction surgeries were recruited, 95 were randomised and 90 were included in the final analysis.InterventionsRandom assignment to quadratus lumborum block III (QLB III) group, transversalis fascia plane block (TFPB) group and the control (no region nerve block) group.Primary and secondary outcome measuresThe primary outcome was the Face, Legs, Activity, Cry and Consolability (FLACC) Scale Scores. Secondary outcomes included perioperative opioid consumption, the time until first press of nurse-controlled analgesia/patient-controlled analgesia (NCA/PCA) pump and the total counts number of pressing, length of postanaesthesia care unit (PACU) stay, length of hospital stay, parental satisfaction with pain management and adverse events.ResultsMean FLACC Scores were significantly lower in QLB III group and TFPB group while in the PACU and for 48 hours postoperatively, compared with control group (p
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2020-038992