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Efficiency of the Quadratus Lumborum Block for Post-operative Analgesia in Abdominoplasty Surgery (QLB)

C

Centre Hospitalier Universitaire, Amiens

Status

Enrolling

Conditions

Quadratus Lumborum Block
Analgesia
Locoregional Anesthesia
Abdominoplasty

Treatments

Other: Intravenous anesthesia without QLB
Other: QLB anesthesia

Study type

Interventional

Funder types

Other

Identifiers

NCT04670224
PI2020_843_0094

Details and patient eligibility

About

Abdominoplasty is a common surgical procedure in plastic surgery which causes postoperative pain and may delay patients' recovery. Surgery is potentially associated with a number of postoperative complications, whether cardiovascular, respiratory, infectious, thromboembolic, or digestive ... Although they do not inevitably lead to a life-threatening prognosis, in many cases these complications delay post-operative recovery. Defined in the 1990s by Professor Henry Kehlet's Danish team, rapid rehabilitation after planned surgery is an approach to overall patient care that aims to rapidly restore previous physical and mental capacities and thus significantly reduce mortality and morbidity. Pain management is at the heart of this program and local anesthesia techniques are at the heart of early rehabilitation programs.

Described for just over a decade, Quadratus Lumborum Block (QLB) have shown their effectiveness for analgesia in abdominal, or orthopedic, or obstetrical surgery. Considering the anatomical territory concerned, this locoregional anesthesia technique seems to be very interesting in abdominoplasty to allow early rehabilitation of the patient.

Enrollment

286 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Adult patients admitted for programmed dermo-lipectomy surgery with or without associated liposuction.

Exclusion criteria

  • Pregnant woman
  • Patient under 18 years of age
  • Subject under guardianship or curators
  • Patient allergic to local anesthetics
  • Infection at the puncture sites
  • Patient on morphine analgesic over the long term
  • Patient on antidepressants for neuropathic pain.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

286 participants in 2 patient groups

QLB technique
Experimental group
Treatment:
Other: QLB anesthesia
Intravenous anesthesia without QLB
Active Comparator group
Treatment:
Other: Intravenous anesthesia without QLB

Trial contacts and locations

1

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Central trial contact

Ottilie FUMERY- TROCHERIS, MD; Stéphane BAR, MD

Data sourced from clinicaltrials.gov

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