Quadratus Lumborum Block : Local Anesthesia Versus Placebo
- Conditions
- Loop IleostomyColorectal Disorders
- Interventions
- Procedure: Quadratus lumborum block using ropivacaineProcedure: Quadratus lumborum block with normal saline
- Registration Number
- NCT03411096
- Lead Sponsor
- Kyungpook National University Hospital
- Brief Summary
Opioid analgesics have many side effects. Quadratus lumborum (QL) block is one kind of regional nerve block that can reduce the side effects of opioid analgesics. The investigators hypothesize that QL block with local analgesics (ropivacaine) can significantly reduce pain intensity in comparison with placebo.
- Detailed Description
Opioid analgesics have been used to control the pain. However, many postoperative complication, such as nausea, vomiting, constipation, ileus, etc are related to opioid usage. Recently, local or regional pain nerve block, such as transversus abdominis plane block, wound infiltration, have been reported in several studies. Quadratus lumborum (QL) block was first introduced in the abstract of 2007 European Society of Regional Anesthesia. The effect is longer and more than that of transversus abdominis plane block because it works close to the spinal cord nerves. The QL block can be an effective pain control method for patients who underwent ileostomy closure. The aim of this study is to compare pain intensity after ileostomy closure between QL block (ropivacaine) group and placebo group (normal saline).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 57
- Aged 20-75 years, either sex
- Patients scheduled to undergo elective ileostomy repair surgery under general anesthesia.
- Patients underwent curative surgery and ileostomy due to colorectal cancer.
- Willingness and ability to sign an informed consent document
- Allergies to anesthetic or analgesic medications
- Contraindication to the use of locoregional anesthesia
- Chronic opioid use
- Coagulopathy, Impaired kidney function, uncontrolled diabetes, psychiatric disorders, severe cardiovascular impairment or chronic obstructive lung disease
- Necessity of major resection other than colorectal, palliative surgery
- BMI above 35kg/m2
- American Society of Anesthesiologists (ASA) physical status above 3
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Quadratus lumborum block Quadratus lumborum block using ropivacaine Quadratus lumborum block with 0.75% ropivacaine Placebo Quadratus lumborum block with normal saline Quadratus lumborum block with normal saline
- Primary Outcome Measures
Name Time Method Pain numerical rating scale (NRS) 6 hours after surgery 1. Pain NRS during rest and cough
2. NRS scale 0-10:0, "no pain"; 10, "worst pain imaginable"
- Secondary Outcome Measures
Name Time Method Pain NRS 2, 12,24,36,48,72 hour after surgery 1. Pain NRS during rest and cough
2. NRS scale 0-10:0, "no pain"; 10, "worst pain imaginable"Rescue opioid analgesic requirement postoperative day 0,1,2,3 Overall postoperative rescue of opioid analgesic requirement described by using the Defined Daily Dose
Postoperative nausea and vomiting scale 2, 12,24,36,48,72 hour after surgery Postoperative nausea and vomiting scores (assessed using a 0-2 categorical scale; no nausea/nausea/vomiting)
Occurrence of prolonged post-operative ileus 8 weeks after surgery Occurrence of prolonged post-operative ileus (assessed using a 0-1 categorical scale; no ileus/ ileus)
Time to first oral fluid intake 8 weeks after surgery Time to first oral fluid intake after surgery
Length of hospital stay 8 weeks after surgery Length of hospital stay after admission
Time to first oral soft diet 8 weeks after surgery Time to first oral soft diet after surgery
Trial Locations
- Locations (1)
Kyungpook National University Chilgok Hospital
🇰🇷Daegu, Korea, Republic of