Ultrasound Guided Anterior Quadratus Lumborum Block

Bursa Yüksek İhtisas Education and Research Hospital

Status: Completed

Conditions: Postoperative Pain; Ultrasound

Treatments: Procedure: Group A; Drug: Morphine Sulfate; Procedure: Group P

Study type: Interventional

Funder types: Other

Identifiers

NCT03425162

BYIEAH

Details and patient eligibility

About

Percutaneous nephrolithotomy (PNL) is frequently used today for renal stones. percutaneous nephrolithotomy (PNL) procedure has become the treatment of choice for many patients with symptomatic renal stones . Patients undergoing PNL suffer from acute postoperative pain, despite a multimodal analgesic regime.

This is a randomised controlled trial efficacy of the anterior Quadratus Lumborum Block (QLB) in terms of analgesic efficacy in patients who undergo percutaneous nephrolithotomy.

Full description

Many analgesic procedures such as NSAID, opioid and regional anesthesia procedures are used as a part of multimodal analgesia for postoperative Percutaneous nephrolithotomy pain.

In this study we will use the ultrasound -guided anterior Quadratus Lumborum Block . Local anesthesic will be injected between quadratus lumborum muscle and psoas muscle with ultrasound.Analgesic effect of this block will be detected by using morphine consumption and visual analogue scale .

Enrollment: 60 patients

Sex: All

Ages: 20 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients who were in the American Society of Anesthesiologists (ASA) I-III class and underwent elective Percutaneous nephrolithotomy

Exclusion criteria

• Previous history of opioid use preoperatively,

  • Allergy to local anesthetics,
  • The presence of any systemic infection,

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

Group A

Active Comparator group

Description:

Group A:Ultrasound guided unilateral anterior Quadratus Lumborum block with 20 ml %0.25 bupivacaine+PCA (morphine)

Treatment:

Drug: Morphine Sulfate

Procedure: Group A

Group P

Sham Comparator group

Description:

Group P:PCA (morphine)

Treatment:

Drug: Morphine Sulfate

Procedure: Group P