An Observational study to evaluate the Efficacy of ultrasound-guided quadratus Lumborum Block with Ropivacaine and Dexmedetomidine for Postoperative Analgesia in patients undergoing Open Lower Abdominal Gynaecological Surgery
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Comparison of the time to the first request for rescue analgesia in groups A and B
研究概览
简要总结
This prospective comparative study aims to evaluate the efficacy of ultrasound-guided quadratus lumborum (QL) block versus local infiltration analgesia (LIA) for postoperative pain relief in patients undergoing lower abdominal surgeries. Dexmedetomidine will be used as an adjuvant in both groups to enhance analgesic effect. The primary outcome will be postoperative pain scores assessed at defined intervals for 24 hours post-surgery. Secondary outcomes will include total analgesic consumption, duration of analgesia, and any adverse effects. This study intends to determine whether QL block provides superior analgesia compared to LIA in the early postoperative period
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- Female
入选标准
- •Adults aged 18-65 years.
- •Scheduled for elective open lower abdominal surgery.
- •ASA physical status I-II and III.
排除标准
- •Refusal for consent ASA IV Patients with coagulopathies Patients with psychological and neurological disorders History of allergy to local anaesthetics and Tramadol.
- •Infection at the site of block.
结局指标
主要结局
Comparison of the time to the first request for rescue analgesia in groups A and B
时间窗: At 30 min, 2hours , 4 hours , 8 hours , 12 hours , 24 hours post operatively
次要结局
- Comparison of total dose of rescue analgesic in first 24 hours after surgery(24 hours post op)
- Comparison of the incidence of Post operative nausea and vomiting(24 hours post op)
- Comparison of the Sedation score(24hours post op)
研究者
Dr Sudhir Kumar
Medanta The Medicity