Qudratus Lumborum Block for Postoperative Pain After Endoscopic Prostatectomy.

Centre of Postgraduate Medical Education

Status

Completed

Conditions

Prostate Cancer

Treatments

Drug: 30 milliliters of 0.375% Ropivacaine

Drug: 30 milliliters of 0.9% NaCl

Procedure: Qadratus Lumborum Block

Study type

Interventional

Funder types

Other

Identifiers

NCT03600129

83/PB/2018

Details and patient eligibility

About

Laparoscopic prostatectomy (LP) is characterized by substantial tissue trauma, despite its minimally -invasive approach. Although postoperative pain intensity is lower when compared to open procedures, the use of opioids is common. Retrospective review of available LP cases revealed that although analgesic demand varied, nearly all of our LP patients required opioids postoperatively. Bilateral Quadratus Lumborum Block (QLB), being one of relatively new features of regional anesthesia, offers good analgesia of abdominal wall, with the potential for control of visceral pain. This study was established to evaluate its effectiveness in alleviating pain after radical prostatectomy in a double - blind, placebo - controlled manner.

Enrollment

50 patients

Sex

Male

Ages

40 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

ASA status less or equal 3
Scheduled for transperitoneal or extraperitoneal endoscopic prostatectomy
Able to understand information provided and to sign the informed consent for participation in the study

Exclusion criteria

known allergy to local anesthetics and opioids
infection in the area of block placement
known chronic use of opioids, gabapentinoids and tricyclic antidepressants
mental inability to understand the principles and rules of patient-controlled analgesia pump