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ltrasound-guided Quadratus Lumborum block for postoperative pain after laparoscopic nephrectomy

Not Applicable
Conditions
Health Condition 1: - Health Condition 2: N29- Other disorders of kidney and ureter in diseases classified elsewhere
Registration Number
CTRI/2018/12/016677
Lead Sponsor
Seth GS medical college and KEM hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1.Adult patients (18 -65yrs)

2.ASA 1 and ASA 2.

3.Patients undergoing elective laparoscopic nephrectomy under general anaesthesia.

4.Patients able to give informed consent

Exclusion Criteria

1.Hypersensitivity to local anaesthetic drug.

2.Bleeding disorders / patients on anticoagulant drugs.

3.Patients with compromised renal and liver function, uncontrolled diabetes, severe cardiovascular and respiratory disease.

4.Infection, trauma, scar or sinuses at the site of block.

5.Patients unable to speak or understand the verbal command.

6.Morbidly obese patient (BMI >40kg/m2)

7.Anticipated difficult airway

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To assess the analgesic efficacy of a single injection quadratus lumborum block versus opioid analgesia using VAS pain scores during the first 48 postoperative hours and, ( outcome measure), Total amount of analgesic consumed over the first 48 hours postoperatively. (outcome measure) <br/ ><br>Timepoint: postoperatively at 1, 2 , 4, 6, 8, 12, 24, 48 hours <br/ ><br>
Secondary Outcome Measures
NameTimeMethod
1.To assess safety of the block- assessing complications like local anaesthetic toxicity, sedation, motor blockade. Complications related to intravenous analgesics like nausea, vomiting ,sedation , delayed recovery, respiratory depression. <br/ ><br>2.Ease of performance of block in terms of time taken and number of attempts. <br/ ><br>3.To assess the level of patient satisfaction with respect to postoperative pain control-with likert 4 point scale(outcome measure) <br/ ><br>Timepoint: postoperatively at 1, 2 , 4, 6, 8, 12, 24, 48 hours
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