Which pain block works best for kids after appendix removal?
NCT ID NCT07301528
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compared two types of nerve blocks—erector spinae plane (ESP) and quadratus lumborum (QL)—to see which provides better pain relief after appendix surgery in children aged 3-13. Sixty children received one of the blocks along with general anesthesia. Researchers measured pain scores, opioid use, and recovery times. The goal is to help doctors choose the best option for reducing pain and opioid needs in kids.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- bupivacaine
- What this could lead to
- If one block proves better, it could lead to less pain and fewer opioids for children after appendix surgery.
- What could go wrong
- This is a small, completed trial with only 60 children. Results may not apply to all hospitals or age groups. Both blocks are already used, so no major breakthrough is expected.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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60 people
The number who actually took part.
- Started
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Dec 2025
- Finished
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Apr 2026
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
3 to 13 years
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients aged 3-13 years * Diagnosis of acute appendicitis requiring appendectomy * ASA physical status I-II * Planned general anesthesia with intraoperative regional block (ESP or QL block) * Written informed consent obtained from parents or legal guardians Exclusion Criteria: * Refusal of regional block by family or anesthesia team * Coagulopathy or anticoagulant medication use * Local infection at the block injection site * Known allergy or contraindication to local anesthetics * Neurological or neuromuscular disorders * Cognitive impairment preventing postoperative pain assessment * Conversion to open surgery * Intraoperative complications requiring deviation from study protocol
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Kutahya City Hospital
Kütahya, 43100, Turkey (Türkiye)
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Kutahya City Hospital Anesthesia and Reanimation Department
Kütahya, Kütahya, 43100, Turkey (Türkiye)
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Other studies related to the condition(s) this trial covers.
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