Evidence map›Paper›PMID 33542037›Full record

Trial reportBMJ open2021

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.

Congcong Huang, Xiaoguang Zhang, Chaoxuan Dong, Chunwei Lian, Jun Li, Lingzhi Yu

4 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.9field-weighted citation impact, top 9% 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.

NCT03189966 nacompletednot on this map

Effect of Different Truncal Blocks Under Ultrasound-Guidance on Pain Management After Open Reduction of Pediatric Developmental Dysplasia of the Hip: a Randomized Trial

TypeinterventionalSponsorSecond Affiliated Hospital of Wenzhou Medical UniversityRan2017 to 2018Enrolled110ConditionsDevelopmental Dysplasia of the Hip (DDH)Armstransversalis fascia plane block, quadratus lumborum block
NCT05348421 nacompletednot on this mapstarted 2022, after this paper: background citation

Comparing the Postoperative Analgesic Effect of Fascia Transversalis Plane Block Versus Pericapsular Nerve Group Block for Hip Surgery in Pediatrics: A Randomized Controlled Clinical Trial

TypeinterventionalSponsorAlexandria UniversityRan2022 to 2023Enrolled60ConditionsPain, Postoperative, Developmental Dysplasia of the Hip, Regional Anesthesia MorbidityArmsFTPB, PENG Block
NCT05349656 nacompletednot on this mapstarted 2022, after this paper: background citation

Comparing the Postoperative Analgesic Efficiency of Trans-muscular Quadratus Lumborum Block Versus PENG Block for Hip Surgery in Pediatrics: A Randomized Controlled Clinical Trial

TypeinterventionalSponsorAlexandria UniversityRan2022 to 2023Enrolled40ConditionsPain, Postoperative, Developmental Dislocation of HipArmsTQL block, PENG block
NCT07395440 completednot on this mapstarted 2025, after this paper: background citation

A Prospective Observational Comparison of Quadratus Lumborum Block Techniques in Gynecologic Surgery

TypeobservationalSponsorAnkara Etlik City HospitalRan2025 to 2025Enrolled68ConditionsAcute Pain Management, Gynecologic Surgical Procedures, Quadratus Lumborum Block
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
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

6 authors at 4 institutions in 1 country.

Congcong HuangDepartment of Pain Management, Jinan Central Hospital Affiliated to Shandong University, Jinan, Shandong, China.
Xiaoguang ZhangDepartment of Anesthesiology, Beijing Jishuitan Hospital, Beijing, China.
Chaoxuan DongDepartment of Anesthesiology, First Affiliated Hospital of Jinan University and Guangzhou Overseas Chinese Hospital, Guangzhou, Guangdong, China.
Chunwei LianDepartment of Anesthesiology and Perioperative Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University;Key Laboratory of Anesthesiology of Zhejiang Province, Wenzhou Medical University, Wenzhou, Zhejiang, China.ORCID 0000-0003-4702-6147
Jun LiDepartment of Anesthesiology and Perioperative Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University;Key Laboratory of Anesthesiology of Zhejiang Province, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Lingzhi YuDepartment of Pain Management, Jinan Central Hospital Affiliated to Shandong University, Jinan, Shandong, China pain-relief@163.com.
Shandong University · CNWenzhou Medical University · CNFirst Affiliated Hospital of Jinan University · CNPeking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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 MEASURES: The 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<0.0001, p<0.0001, respectively). No differences were found for FLACC Scores between QLB III group and TFPB group, neither at rest (p=0.0402) nor while posture changing (p=0.0306). TFPB prolonged the first-time request for NCA/PCA analgesia, and decreased the total number of pressing counts, compared with QLB III (22.5 (16.2 to 28.7) vs 11.7 (6.6 to 16.8), p<0.0001; 2.4 (1.3 to 3.6) vs 3.8 (2.8 to 4.8), p=0.0111, respectively). No patient experienced any adverse events.

conclusionsWe suggested that both ultrasound-guided QLB III and TFPB should be considered as an option for perioperative analgesia in children with DDH undergoing open reduction surgeries. TFPB was superior to the QLB III because it prolonged the first-time request for NCA/PCA analgesia and decreased the total counts number of pressing. TRIAL REGISTRATION NUMBER: NCT03189966/2017.

Indexed as

Developmental Dysplasia of the HipNerve BlockAnesthetics, LocalChildChild, PreschoolChinaFasciaHumansPostoperative PainProspective StudiesAnesthetics, Localpaediatric anaesthesiapaediatric plastic & reconstructive surgerypain managementultrasound

Identifiers

PMID33542037
PMCPMC7925863
OpenAlexW3126782006

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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.