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September 12, 2025Brazilian Journal of Anesthesiology (English Edition)Open Access

Comparison of three Quadratus lumborum block approaches for pediatric lower abdominal surgeries: A randomised controlled trial

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Authors

ASArun SKAKAjeet KumarAKAmarjeet Kumar

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Overview

Randomized trial shows anterior approach reduces fentanyl use and improves outcomes in children undergoing surgery, indicating potential benefits of regional anesthesia.

Key Points

  • The anterior QL block approach significantly reduced postoperative fentanyl consumption compared to other methods.
  • In Group A, mean fentanyl use was lower at 24 hours, indicating effective analgesia with the anterior approach.
  • Parental satisfaction scores were significantly higher for the anterior QL block, suggesting improved family outcomes.
  • Overall, the trial supports the anterior quadratus lumborum block as a superior technique for pediatric lower abdominal procedures.

Cite This Study

SK et al. (2025) studied this question.

synapsesocial.com/papers/68d44c3431b076d99fa55331https://doi.org/10.1016/j.bjane.2025.844683
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Comparison Study of Quadratus Lumborum Block Versus Transversus Abdominis Plane Block for Postoperative Analgesia in Children Undergoing Infra-Umbilical Surgeries under General Anesthesia: A Prospective Randomised Study2024 · 2 citations
  2. 2Comparison of anterior, posterior, and lateral approaches of ultrasound-guided quadratus lumborum block in an adult patient undergoing inguinal hernia surgery: A prospective randomized controlled trial2024 · 2 citations
  3. 3Ultrasound guided quadratus lumborum block versus interlaminar epidural block for analgesia in pediatric abdominal surgery: a randomized controlled trial2024 · 2 citations
  4. 4ULTRASOUND GUIDED QUADRATUS LUMBORUM ANALGESIA: DIFFERENT APPROACHES IN ORTHOPEDIC LOWER LIMB SURGERY UNDER SUBARACHNOID ANESTHESIA2023
  5. 5Ultrasound-Guided Quadratus Lumborum Block Versus Transversus Abdominis Plane Block for Laparoscopic Inguinal Hernia Repair and Appendicectomy Using Ropivacaine With Dexmedetomidine2023 · 10 citations