Evidence map›Paper›PMID 31648515›Full record

Trial reportTurkish journal of medical sciences2019

Comparison of ultrasound-guided transversus abdominis plane block, quadratus lumborum block, and caudal epidural block for perioperative analgesia in pediatric lower abdominal surgery

Celal Bulut İpek, Deniz Kara, Sinan Yılmaz, Serdar Yeşiltaş, Asım Esen, Shinaaz Su Sandar Lwin Dooply, Kazım Karaaslan, Ayda Türköz

Abstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Turkish journal of medical sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Celal Bulut İpekDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Bezmialem Vakıf University, İstanbul, TurkeyORCID 0000-0002-0594-6634
Deniz KaraDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Bezmialem Vakıf University, İstanbul, TurkeyORCID 0000-0002-8968-8539
Sinan YılmazDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Bezmialem Vakıf University, İstanbul, TurkeyORCID 0000-0001-9617-2672
Serdar YeşiltaşDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Bezmialem Vakıf University, İstanbul, TurkeyORCID 0000-0001-5811-0104
Asım EsenDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Bezmialem Vakıf University, İstanbul, TurkeyORCID 0000-0001-7222-7499
Shinaaz Su Sandar Lwin DooplyDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Bezmialem Vakıf University, İstanbul, TurkeyORCID 0000-0002-6745-3974
Kazım KaraaslanDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Bezmialem Vakıf University, İstanbul, TurkeyORCID 0000-0003-0582-8723
Ayda TürközDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Bezmialem Vakıf University, İstanbul, TurkeyORCID 0000-0002-5913-6469

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/aim: Despite different regional anesthesia techniques used to provide intraoperative and postoperative analgesia in pediatric patients, the analgesic effectiveness of peripheral nerve blockades with minimal side effect profiles have not yet been fully determined. We aimed to compare the efficacy of ultrasound-guided transversus abdominis plane (TAP) block, quadratus lumborum (QL) block, and caudal epidural block on perioperative analgesia in pediatric patients aged between 6 months and 14 years who underwent elective unilateral lower abdominal wall surgery. Materials and methods: Ninety-four patients classified under the American Society of Anesthesiologists physical status classification system as ASA I or ASA II were randomly divided into 3 equal groups to perform TAP, QL or Caudal epidural block using 0.25% of bupivacaine solution (0.5 ml kg−1). Results: Postoperative analgesic consumption was highest in the TAP block group (P < 0.05). In the QL block group, Pediatric Objective Pain Scale (POAS) scores were statistically significantly lower after 2 and 4 h (P < 0.05). The length of hospital stay was significantly longer in the caudal block group than the QL block group (P < 0.05). Conclusion: We suggest that analgesia with ultrasound-guided QL block should be considered as an option for perioperative analgesia in pediatric patients undergoing lower abdominal surgery if the expertise and equipment are available.

Indexed as

Ultrasonography, InterventionalAbdominal MusclesAbdominal WallAdolescentAnesthesia, CaudalChildChild, PreschoolFemaleHumansInfantMaleNerve Blockcaudal epidural blockPediatric surgeryquadratus lumborum blocktransversus abdominis plane blockultrasound-guided

Identifiers

PMID31648515
PMCPMC7018333

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.