Qudratus Lumborum Block Versus Unilateral Intrathecal Block for Inguinal Hernia Repair

Zagazig University

Status: Unknown

Conditions: Inguinal Hernia,Quadratus Lumborum Block , Unilateral Intrathecal Block

Treatments: Procedure: unilateral intrathecal block

Study type: Interventional

Funder types: Other

Identifiers

NCT04805580

Qudratus lumborum block

Details and patient eligibility

About

compare between Quadratus lumborum block and unilateral intrathecal block for patients undergoing inguinal hernia repair regarding the quality of anesthesia and hemodynamic stability of patients.

Full description

comparison between unilateral intrathecal block anesthesia (unilateral SA) and Quadratus lumborum block for inguinal hernia repair unilateral intrathecal block is widely used nowadays for unilateral inguinal hernia repair, providing intense sensory and motor blockade. Limiting the block to the operative site by using small doses of hyperbaric solutions injected slowly through a directional needle and maintaining a lateral decubitus position for a certain duration has been proposed, to produce high quality, long-duration analgesia, with minimal hemodynamic adverse events.

Previous case report studies stated that we can use Quadratus Lumborum Block as the sole anesthetic technique for open hernia repair.

Enrollment: 50 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• physical status ASA: I-II BMI >18kg/m2<30kg/m2 written informed consent from the patient scheduled for open unilateral inguinal hernia repair

Exclusion criteria

• uncooperative patient
• Allergy to local anesthetic drugs
• patients on chronic alcohol, opioid, tranquilizer or sedative use
• Pregnant females.
• Psychological, mental disorders, or depression.
• Patients receiving anticoagulants therapy or suspected coagulopathy.
• Patients with infection or previous surgery at sit of anesthetic procedures.
• Patients with significant cardiovascular, respiratory, renal, hepatic, or metabolic disease

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 participants in 2 patient groups

intrathecal block

Active Comparator group

Description:

patients (25) will receive unilateral intrathecal block using 1.5 ml of hyperbaric bupivacaine

Treatment:

Procedure: unilateral intrathecal block

Quadratus lumborum block

Active Comparator group

Description:

patients (25) will receive quadratus lumborum block by an anterior approach using 30 ml of bupivacaine 0.25%

Treatment:

Procedure: unilateral intrathecal block