Post-operative Analgesia Efficacy Using Ultrasound-guided Transmuscular Quadratus Lumborum Block Versus Ultrasound-guided Quadratus Lumborum Type II Block.
试验速览
- 阶段
- 4 期
- 入组人数
- 180
- 试验地点
- 1
- 主要终点
- morphine consumption
研究概览
简要总结
Post-operative analgesia efficacy using ultrasound-guided transmuscular quadratus lumborum block versus ultrasound-guided quadratus lumborum type II block
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •American Society of Anesthesiologists classification (ASA) 1~3
- •adequate communication skills
- •Body mass index < 32
排除标准
- •chronic pain neurological illness/ neuropathy contraindication against local anesthetics
研究组 & 干预措施
Group B
Ultrasound guided transmuscular quadratus lumborum block with 0.125% bupivacaine 30ml
干预措施: Bupivacaine (Drug)
Group B
Ultrasound guided transmuscular quadratus lumborum block with 0.125% bupivacaine 30ml
干预措施: Ultrasound (Device)
Group C
Ultrasound guided quadratus lumborum type 2 block with 0.125% bupivacaine 30ml
干预措施: Bupivacaine (Drug)
Group C
Ultrasound guided quadratus lumborum type 2 block with 0.125% bupivacaine 30ml
干预措施: Ultrasound (Device)
结局指标
主要结局
morphine consumption
时间窗: 48 hours
morphine consumption
次要结局
- 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)
研究者
Wu Hsuan-Cheng
Principal Investigator, Department of Anesthesiology,Tri-ServiceGeneralHospital
Tri-Service General Hospital