Background: Regional anesthesia has a rapidly growing use in children over the recent two decades. An aim of our work is to suggest a new technique for quadratum lumborum block (QLB) and prove its efficacy compared to intravenous anesthesia.
Patients and methods: 34 children (10.6 ± 1.4 years) were included into the study. First group – 17 patients – received anesthesia by new QLB technique under ultrasound guidance with 0.5 % bupivacaine hydrochloride, 17 children received a continuous fentanyl intravenous infusion. Efficacy of postoperative analgesia was assessed through the complex of different vital signs; pain intensity was assessed by the Observation Scale for Infants and Small Children (VAS). Ethics Committee approved the conduct of the study. Statistical analysis was performed by a variation statistics method using “Statistica 5.5” soft and visualized through soft based on Python „Plotus XYZ”.
Results: The average pain score according to VAS was significantly lower in patients of the first group in early postoperative period at all stages of the study (р < 0.05). The average heart rate was lower than 120 bpm in group 1 for the entire time of QLB. Parameters of central hemodynamics, arterial blood flow in superior mesenterial artery and glucose levels were also normal.
Conclusion: Obtained data shows, that proposed new QLB technique is more effective, when compared to standard intravenous anesthesia.
Key words: local analgesia, pain, pediatrics, QL-block, ultrasound.
Lek Obz, 2020, 69 (9): 285-291
Dmytro DMYTRIIEV, Evgenii GLAZOV, Bohdan ZALETSKIY, Kostiantyn DMYTRIIEV, Oleksandr DOBROVANOV, Karol KRALINSKY
1 Department of Anesthesiology, Intensive Care Unit and Pain Medicine, Vinnytsya Regional Clinical Endocrinology Center, Vinnytsya, Ukraine, head prof. MD. D. Dmytriiev, PhD.
2 National Pirogov Memorial Medical University, Vinnytsya, Ukraine
3 Department of Anesthesiology and Intensive Care Unit, Odessa Regional Children Hospital, Odessa, Ukraine
4 A. Getlik Clinic for Children and Adolescents, Slovak Medical University and University Hospital of Medicine, Bratislava, Slovakia, head doc. MUDr. K. Furkova, CSc.
5 St. Elizabeth University of Health and Social sciences, Bratislava, Slovakia
6 2nd Children‘s Clinic of Slovak Medical University, Children Faculty Hospital with Polyclinic, Banska Bystrica, Slovakia,
head prof. MUDr. K. Kralinsky, PhD.
7 Faculty of Health Care of Slovak Medical University in Bratislava, based in Banska Bystrica, Slovakia
Dmytro DMYTRIIEV, Evgenii GLAZOV, Bohdan ZALETSKIY, Kostiantyn DMYTRIIEV, Oleksandr DOBROVANOV, Karol KRALINSKY: Nová modifikovaná technika kombinovaného intramuskulárneho „quadratum lumborum blokády“ a jej efektívnosť. Lek Obz, 2020, 9, 69, s. 285-291