Evidence map›Paper›PMID 33507315›Full record

Trial reportDer Anaesthesist2021

Postoperative analgesic effectiveness of ultrasound-guided transmuscular quadratus lumborum block in congenital hip dislocation surgery : A randomized controlled study.

Elif Oral Ahiskalioglu, Ali Ahiskalioglu, Kubra Selvitopi, Ugur Peksoz, Muhammed Enes Aydin, Irem Ates, Mine Celik

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Der Anaesthesist, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% of its field
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
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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

7 authors at 1 institution in 1 country.

Elif Oral AhiskaliogluDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, 25070, Erzurum, Turkey.
Ali AhiskaliogluDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, 25070, Erzurum, Turkey. aliahiskalioglu@hotmail.com.
Kubra SelvitopiDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, 25070, Erzurum, Turkey.
Ugur PeksozDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, 25070, Erzurum, Turkey.
Muhammed Enes AydinDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, 25070, Erzurum, Turkey.
Irem AtesDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, 25070, Erzurum, Turkey.
Mine CelikDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, 25070, Erzurum, Turkey.
Atatürk University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectiveCongenital hip dysplasia (CHD) defines a spectrum of pathologies in which the acetabulum and proximal femur of babies and children abnormally develop. Open surgery in congenital hip dysplasia leads to severe postoperative pain. The aim of this study was to evaluate the effectiveness of ultrasound-guided quadratus lumborum block (QLB) in pediatric patients undergoing surgery for congenital hip dysplasia. MATERIAL AND

methodsFollowing ethical board approval, 40 children aged between 1-5 years undergoing surgery for congenital hip dysplasia were randomized into two groups. Patients (n = 20) received ultrasound guided quadratus lumborum block (group QLB) using 0.5 mL/kg body weight 0.25% bupivacaine preoperatively. The same standard postoperative analgesia protocol was used in both groups. Pain scores, parental satisfaction, requirement for ibuprofen and opioids were recorded. Pain was measured using the face, legs, activity, crying, consolability (FLACC) scale.

resultsThe FLACC scores were lower at 30min and 1h, 2h, 4h, 6h, 12h and 24h in the QLB group when compared to the control group (p < 0.05). The requirement for rescue opioid analgesia was statistically significantly higher in the control group when compared to the QLB group (15/20 vs. 3/20, p < 0.001). Rate of ibuprofen usage in the ward was higher in the control group when compared to the QLB group (14/20 vs. 4/20, p = 0.004). Parental satisfaction was higher in the QLB group (p < 0.001).

conclusionUltrasound-guided quadratus lumborum block reduces pain scores and analgesic requirements following congenital hip dysplasia surgery.

Indexed as

Hip Dislocation, CongenitalNerve BlockAnalgesics, OpioidAnesthetics, LocalChildChild, PreschoolHumansInfantPostoperative PainUltrasonography, InterventionalAnalgesics, OpioidAnesthetics, LocalHip dislocation surgeryPediatricPostoperative analgesiaQuadratus lumborum blockUltrasound

Identifiers

PMID33507315
OpenAlexW3125661025

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.