{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T12:28:51Z","timestamp":1787228931557,"version":"build-2736575974"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Open pyeloplasty in children is often associated with significant postoperative pain, and providing effective analgesia while limiting opioid exposure remains challenging. We describe our experience with the ultrasound-guided Quadro-Iliac Plane Block (QIPB), a recently described fascial plane block, in five children aged 2\u20137 years undergoing open pyeloplasty. Following induction of general anesthesia, a unilateral QIPB was performed using 0.2% ropivacaine (0.5 mL\/kg). Postoperative pain was assessed using the FLACC scale over 24 hours, and the need for rescue analgesia was documented. All children had low pain scores in the early postoperative period, with median FLACC scores remaining \u22643. Three patients required a single dose of rescue fentanyl between 13 and 16 hours postoperatively, likely corresponding to block wear-off. No adverse effects, motor weakness, nausea, or vomiting were observed. Our experience suggests that QIPB may offer effective, opioid-sparing, and motor-preserving analgesia for pediatric open pyeloplasty, although larger controlled studies are needed.<\/jats:p>","DOI":"10.4103\/sja.sja_118_26","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T05:00:56Z","timestamp":1782968456000},"page":"729-731","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A novel fascial plane block for pediatric open pyeloplasty: Clinical experience with the quadro-iliac plane block\u2014A report of five cases"],"prefix":"10.4103","volume":"20","author":[{"given":"Himangi","family":"Bhokare","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, All India Institute of Medical Sciences, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anu","family":"Kewlani","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, All India Institute of Medical Sciences, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"R1-20260820","doi-asserted-by":"crossref","first-page":"1397614","DOI":"10.3389\/fped.2024.1397614","article-title":"Laparoscopic pyeloplasty in neonates and infants is safe and efficient","volume":"12","author":"Langreen","year":"2024","journal-title":"Front Pediatr"},{"key":"R2-20260820","doi-asserted-by":"crossref","first-page":"2482","DOI":"10.1007\/s00268-020-05530-1","article-title":"Consensus guidelines for perioperative care in neonatal intestinal surgery: Enhanced recovery after surgery (ERAS\u00ae) society recommendations","volume":"44","author":"Brindle","year":"2020","journal-title":"World J 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block versus paravertebral block for pyeloplasty surgery in children \u2013A prospective, randomized study","volume":"40","author":"Kundal","year":"2024","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"R7-20260820","doi-asserted-by":"crossref","first-page":"278","DOI":"10.3390\/surgeries2030028","article-title":"Analgesic efficacy of quadratus lumborum block in infants undergoing pyeloplasty","volume":"2","author":"Chisolm","year":"2021","journal-title":"Surgeries"},{"key":"R8-20260820","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1186\/s12893-025-03320-x","article-title":"The quadro-iliac plane block: A systematic review of a promising novel technique","volume":"25","author":"Shakeri","year":"2025","journal-title":"BMC Surg"},{"key":"R9-20260820","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1093\/pm\/pnae090","article-title":"A novel and promising regional anesthesia technique in living-donor renal transplantation surgery: Quadro-iliac plane block","volume":"25","author":"G\u00fcng\u00f6r","year":"2024","journal-title":"Pain Med"},{"key":"R10-20260820","first-page":"21","article-title":"Quadro iliac plane block in analgesia for appendectomy","volume":"2","author":"Sat\u0131c\u0131","year":"2024","journal-title":"Mehes J"},{"key":"R11-20260820","article-title":"Ultrasound-guided Quadro-Iliac Plane Block for postoperative analgesia after open inguinal hernia repair: a case series","author":"Taflan","year":"2025","journal-title":"Pain Medicine"},{"key":"R12-20260820","first-page":"64","article-title":"Recovery after hip arthroplasty with quadro-iliac plane block: A randomised trial","volume":"59","author":"Satici","year":"2025","journal-title":"Age"},{"key":"R13-20260820","doi-asserted-by":"crossref","first-page":"244","DOI":"10.4103\/ija.ija_1077_24","article-title":"Quadro-iliac plane block (QIPB) in lumbar stabilisation surgeries: A case series","volume":"69","author":"Turan","year":"2025","journal-title":"Indian J Anaesth"},{"key":"R14-20260820","first-page":"10","article-title":"Ultrasound guided Quadro-iliac plane block for pain management in paediatric patients undergoing unilateral orchidopexy","author":"Kumari","journal-title":"Journal of Anaesthesiology Clinical Pharmacology"}],"container-title":["Saudi Journal of 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History"}},{"value":"2026-02-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}