MedPath

Analgesic Efficacy of Ultrasound Guided Quadratus Lumborum Block During ESWL

Phase 4
Completed
Conditions
Pain, Acute
Interventions
Registration Number
NCT03080363
Lead Sponsor
Ataturk University
Brief Summary

Extracorporeal shockwave lithotripsy (ESWL) is widely used for the treatment of urinary tract calculi; however, the vast majority of patients do not tolerate the procedure without analgesia and sedation.

Lots of methods have been tried to control this pain (non-steroidal anti-inflammatory drugs, opioids, alpha 2 agonists, transversus abdominis plane block with long-acting local anesthetics, paravertebral block, local anesthetics infiltration, lidocaine/prilocaine cream).

The quadratus lumborum block was first described by Blanco. QL block is performed as one of the perioperative pain management procedures for abdominal surgery. QL block provides anesthesia and analgesia on the anterior and lateral wall of the abdomen.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • American Society of Anesthesiologist's physiologic state I-II patients undergoing Extracorporeal Shockwave Lithotripsy
Exclusion Criteria
  • chronic pain
  • bleeding disorders
  • renal or hepatic insufficiency
  • patients on chronic non-steroidal anti-inflammatory medications
  • emergency cases

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Quadratus Lumborum BlockBupivacaineUltrasound guided Quadratus Lumborum Block with 10 ml %0.5 bupivacaine and 10 ml %2 lidocaine
Quadratus Lumborum BlockLidocaineUltrasound guided Quadratus Lumborum Block with 10 ml %0.5 bupivacaine and 10 ml %2 lidocaine
Primary Outcome Measures
NameTimeMethod
Visual Analog Pain ScoreIntraoperative 30 minutes

Visual Analog Pain Score at 5.,10.,15., 20., 25., 30. minutes

Secondary Outcome Measures
NameTimeMethod
Opioid consumptionIntraoperative 30 minutes

Opioid consumption at 5.,10.,15., 20., 25., 30. minutes

Trial Locations

Locations (1)

Ataturk University

🇹🇷

Erzurum, Turkey

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