Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2020
Randomized Controlled TrialA Prospective, Randomized Comparative Study Between Ultrasound-Guided Posterior Quadratus Lumborum Block and Ultrasound-Guided Ilioinguinal/Iliohypogastric Nerve Block for Pediatric Inguinal Herniotomy.
Ilioinguinal/iliohypogastric nerve block is commonly performed to control postherniotomy pain. The posterior quadratus lumborum block has been recently described as an effective analgesic technique for pediatric low abdominal surgery. No data were found regarding the use of posterior quadratus lumborum block in comparison with the traditional ilioinguinal/iliohypogastric nerve block in pediatric inguinal surgery. ⋯ The posterior quadratus lumborum block with 0.25% bupivacaine 0.5 mL/kg provided better pain control than the ilioinguinal/iliohypogastric nerve block with 0.25% bupivacaine 0.2 mL/kg after open herniotomy in children. The ultrasound guidance technique for the posterior quadratus lumborum block is safe and as simple as the ultrasound-guided ilioinguinal/iliohypogastric nerve block for pediatric patients.