Ultrasound-guided Continuous Quadratus Lumborum Block III for Postoperative Analgesia in Percutaneous Nephrolithotomy
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Analgesia
- Sponsor
- Nazmy Edward Seif
- Enrollment
- 45
- Locations
- 1
- Primary Endpoint
- Morphine consumption.
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Percutaneous nephrolithotomy (PCNL) is considered to be the first choice and a more conservative procedure than open stone surgery. Not only postoperative pain related to dilatation of the renal capsule and parenchymal tract, but also patient's discomfort & nephrostomy tube-related stress are reported to delay recovery time and increase the complication rates. This study is designed to provide postoperative analgesia by using ultrasound-guided continuous Quadratus Lumborum Block (QLB) III in patients undergoing PCNL and to assess pain scores & side effects with less opioids consumption.
Investigators
Nazmy Edward Seif
Clinical Professor
Cairo University
Eligibility Criteria
Inclusion Criteria
- •ASA I-II.
- •Scheduled for percutaneous nephrolithotomy (PCNL).
Exclusion Criteria
- •Patient refusal.
- •Coagulation disorders.
- •Skin lesions or infection at site of needle insertion.
- •Known allergy to local anesthetics or opioids.
- •Patients suffering from neurological or mental disease.
- •Procedure turned into open stone surgery.
- •Failure of identification by U/S.
- •Urinary tract malignancies.
- •Opioid consumption 48 hours before the operation.
Outcomes
Primary Outcomes
Morphine consumption.
Time Frame: 24 hours
Total dose of Morphine (measured in mg) given intra-venously to the patient post-operatively.