الفهرس 
Introductionيوجد فقط 14 صفحة متاحة للعرض العام
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المستخلص
Introduction: A major contribution to the pain experienced by a patient after an abdominal surgery is from the incision made in the abdominal wall. Children that have significant pain postoperatively experience slower recovery and increased postoperative morbidity including poor oral intake, sleep disturbance, and behavioral changes.Aim of this study: to compare the quality of pain relief in pediatric patients undergoing abdominal surgery receiving either quadratus lumborum block or epidural block. Patients and methods: Pediatric patients prepared for abdominal surgery in the period between 2020 and 2022 Methods: This study was conducted at Mansoura University Children Hospital on 58 patients aged between 2 and 7 years of either sex, underwent abdominal surgery. Exclusion criteria include: parents refusal, coagulation disorders, hepatic, infection, and allergy to any of the drugs used.US guided quadratus lumborum block was done using 0.5 ml/kg of bupivacaine 0.25%, US guided epidural block was done using 0.3 ml/kg of bupivacaine 0.25%.Results: CHEOPS scores at 0, 6, 12, 18, 24 h postoperatively, time of first analgesic request, and total amount of postoperative fentanyl consumption were comparable in both groups. By analyzing and processing the results obtained our study we concluded that: quadratus lumborum block can achieve comparable analgesic effect to epidural block as a crucial part of multimodal analgesia of children undergoing abdominal surgery.