Ultrasound‐guided quadratus lumborum block compared to caudal ropivacaine/morphine in children undergoing surgery for vesicoureteric reflex

• DOI: 10.1111/pan.13650
• Publication Date: 2019-05-01T01:04:00Z
• Authors: Makoto Sato
• Keywords: Ropivacaine; Interquartile range; FLACC scale; Narcotic

Ultrasound-guided quadratus lumborum block is a regional anesthetic technique which can provide perioperative analgesia for all age groups, including pediatric patients undergoing abdominal surgery. We hypothesized that the would be as efficacious caudal block, gold standard of lower anesthesia, in providing pain control after ureteral reimplantation but also have longer duration.Forty-seven between ages 1 and 17 years bilateral surgery via low transverse incision were enrolled randomized into groups. All blocks performed preoperatively under general anesthesia. analyzed following outcomes: requirement narcotic analgesics, score, episodes emesis, complications at 0, 4, 24, 48 hours postoperatively.The study included 44 excluding three who ineligible. The fentanyl postoperative rescue during first 24 was significantly group than (median [interquartile range]: 0 [0-1] vs 3 [0-5], P = 0.016, 95% confidence intervals: -4 to 0) not 30 minutes, or hours. No significant difference observed scores incidence interventions treat nausea vomiting entire period. complication observed.The more effective reducing opioid initial ropivacaine/morphine.