Post-operative Analgesia Efficacy Using Ultrasound-guided Transmuscular Quadratus Lumborum Block Versus Ultrasound-guided Quadratus Lumborum Type II Block.
Overview
- Phase
- Phase 4
- Intervention
- Bupivacaine
- Conditions
- Nerve Block
- Sponsor
- Tri-Service General Hospital
- Enrollment
- 180
- Locations
- 1
- Primary Endpoint
- morphine consumption
- Last Updated
- 9 years ago
Overview
Brief Summary
Post-operative analgesia efficacy using ultrasound-guided transmuscular quadratus lumborum block versus ultrasound-guided quadratus lumborum type II block
Detailed Description
The Quadratus Lumborum (QL) Block is an ultrasound-guided technique described by Rafael Blanco in 2007. The nerves to the lower abdominal wall can be anesthetized by injecting local anesthetics between the quadratus lumborum muscle and latissimus dorsi muscle, which is called quadratus lumborum type II block. 〝 Transmuscular quadratus lumborum block demonstrates that injectate spreads over the posterior abdominal wall to the psoas major muscle and includes the upper branches of the lumbar plexus.〞described by Adhikary in 2016. However there are no published reports comparing the 2 techniques. In our study, compared of ultrasound-guided QL2-blocks with transmuscular quadratus lumborum block to investigate analgesic consumption, pain level, opioid related side effects and mobilization.
Investigators
Wu Hsuan-Cheng
Principal Investigator, Department of Anesthesiology,Tri-ServiceGeneralHospital
Tri-Service General Hospital
Eligibility Criteria
Inclusion Criteria
- •American Society of Anesthesiologists classification (ASA) 1\~3
- •adequate communication skills
- •Body mass index \< 32
Exclusion Criteria
- •chronic pain neurological illness/ neuropathy contraindication against local anesthetics
Arms & Interventions
Group B
Ultrasound guided transmuscular quadratus lumborum block with 0.125% bupivacaine 30ml
Intervention: Bupivacaine
Group B
Ultrasound guided transmuscular quadratus lumborum block with 0.125% bupivacaine 30ml
Intervention: Ultrasound
Group C
Ultrasound guided quadratus lumborum type 2 block with 0.125% bupivacaine 30ml
Intervention: Bupivacaine
Group C
Ultrasound guided quadratus lumborum type 2 block with 0.125% bupivacaine 30ml
Intervention: Ultrasound
Outcomes
Primary Outcomes
morphine consumption
Time Frame: 48 hours
morphine consumption
Secondary Outcomes
- Nausea or vomiting(48 hours)
- Skin itch(48 hours)
- Severity of postoperative pain via visual analogue pain scale (VAS)(48 hours)
- time to mobilization(48 hours)