Ultrasound Guided Quadratus Lumborum Block Versus Transversus Abdominis Plane Block as Postoperative Analgesia in Patients Undergoing Abdominal Cancer Surgery.
试验速览
- 阶段
- 3 期
- 状态
- 招募中
- 入组人数
- 98
- 试验地点
- 1
- 主要终点
- The total dose of morphine
研究概览
简要总结
Abdominal surgery is usually associated with severe postoperative pain. The transverse abdominal plane (TAP) block is considered an effective means for pain control in such cases. The quadratus lumborum (QL) block is another option for the management of postoperative pain.
The aim of this study is to evaluate the efficacy and safety of quadrates lumborum blocks and Transversus abdominis plane blocks for pain management after abdominal cancer surgery.
详细描述
Postoperative pain is severe in patients undergoing abdominal surgery, and severe pain not only affects the rate of recovery of patients but also induces a series of pathophysiological reactions. Therefore, it is very important for perioperative patients to have a safe and effective pain management model. Although classic postoperative analgesia methods can provide effective pain relief after surgery, their administration has a well-defined risk of side effects. Recently, with the rise in enhanced recovery after surgery, nerve blocks have become the key link in multimodal analgesic regimes.
As effective constituents of multimode analgesia, quadratus lumborum (QL) block and transversus abdominis plane (TAP) block are mainly used for postoperative analgesia in abdominal surgery.
Aim of this study is to compare between the analgesic effecacy of quadrates lumborum block and transverses abdominal plane block
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
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
- •Patients included in the study, aged 20-60 years,
- •with ASA Physical Status Class I and II,
- •scheduled for abdominal cancer surgery under general anesthesia
排除标准
- •infection at injection site,
- •allergy to local anesthetics,
- •coagulation disorders,
- •physical or mental diseases which could interfere with the evaluation of pain scores
- •kidney failure or liver failure.
结局指标
主要结局
The total dose of morphine
时间窗: in the first 24 hours after surgery
amount of morphine in mg
次要结局
- visual analog score(postoperatively at 24 hours)
研究者
Nevert Adel
assist. prof. of anesthesia and pain management
Mansoura University