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TQLB for Postoperative Pain After Laparoscopic Partial Nephrectomy

Not Applicable
Completed
Conditions
Laparoscopic Renal Surgery
Pain Management
Nerve Block
Interventions
Procedure: single-injection TQLB(transmuscular quadratus lumborum block)
Registration Number
NCT03982784
Lead Sponsor
Cui Xulei
Brief Summary

This prospective, randomized study,control study aims to compare the analgesic effect,opioids consumption,quality of recovery,length of hospital stay,et al. between single-injection QLB(quadratus lumborum block)+ intravenous patient-controlled analgesia (IPCA) and intravenous patient-controlled analgesia (IPCA) alone in patients undergoing laparoscopic partial nephrectomy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria

Not provided

Exclusion Criteria
  • A known allergy to the drugs being used
  • Coagulopathy, on anticoagulants
  • Analgesics intake, history of substance abuse
  • Participating in the investigation of another experimental agent
  • Inability to properly describe postoperative pain to investigators (eg, language barrier, neuropsychiatric disorder)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ControlMorphine given as IPCA(intravenous patient controlled analgesia)postoperative IPCA is given alone
single-injection TQLB(transmuscular quadratus lumborum block)single-injection TQLB(transmuscular quadratus lumborum block)Single-injection of TQLB is given preoperatively + postoperative IPCA(intravenous patient controlled analgesia)
single-injection TQLB(transmuscular quadratus lumborum block)Morphine given as IPCA(intravenous patient controlled analgesia)Single-injection of TQLB is given preoperatively + postoperative IPCA(intravenous patient controlled analgesia)
Primary Outcome Measures
NameTimeMethod
cumulative morphine consumption 8 hours after surgeryat the 8 hours after surgery
Secondary Outcome Measures
NameTimeMethod
postoperative length of hospital staywithin 2 weeks after the surgery

time to patient's discharge

cumulative morphine consumption at other time points after surgeryat 0, 2, 4, 12, 24 and 48 hours after surgery
episodes of nausea and vomitingwithin 24 hours after the surgery
quality of recovery evaluated by the self-assessment 15-item quality of recovery (QoR) scaleat 72 hours and 120 hours after the sugery

QoR is a 15-item questionnaire which will score on a scale of 0-10 pertaining to patient's comfort, support system, pain, well-being, and ability to carry out daily activities, where 0 indicates none of the time and 10 indicates all of the time

ambulation timewithin the 5 days after surgery

time from the end of the surgery to the first time to out-of-bed activity

The pain scores(at rest or on activity) determined by the numeric rating scale (NRS, 0-10)at 0, 2, 4, 8,12, 24, 48 and 72 hours after surgery

NRS is an internationally recognized pain scale with 11 points ranging from 0 to 10 points, with 0 defined as no pain and 10 defined as the worst pain imaginable.

time of recovery of bowl movementwithin the 5 days after surgery

time from the end of the surgery to the first time of bowl movement

patient satisfaction with anesthesiaat 48 hours after surgery

Patient satisfaction with anesthesia was assessed using a 5-point scale (5: very satisfied; 4: satisfied; 3: neither satisfied nor dissatisfied; 2: dissatisfied; 1: very dissatisfied)

Trial Locations

Locations (1)

Cui Xulei

🇨🇳

Beijing, Beijing, China

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