Comparison of ultrasound guided Lateral Quadratus Lumborum block versus Epidural block for post-operative analgesia in minimally invasive colorectal surgery:A prospective randomised controlled comparative study.
试验速览
- 阶段
- 4 期
- 状态
- 招募中
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- To compare the USG guided lateral quadratus lumborum block with epidural block for post operative analgesia in patients undergoing minimally invasive colorectal surgery.
研究概览
简要总结
This study is a prospective randomised controlled study, comparing the ultrasound guided lateral Quadratus Lumborum (QL) Block versus Epidural analgesia (EA) for post operative analgesia in patients undergoing minimally invasive colorectal surgery. In QL group USG guided Lateral Quadratus Lumborum block is given with 20 ml of 0.25% Bupivacaine and 4mg Dexamethasone in supine position bilaterally post surgery. In EA group, epidural catheter is inserted and test dose given prior to surgery and bolus epidural injection with 6 ml of 0.25% Bupivacaine and 4 mg Dexamethasone is given post surgery, adequacy of pain relief will be assessed using VAS scale at 2,4,8,12,16,20 & 24 hours post surgery.The time to first request of rescue analgesia with Fentanyl and its total dose requirement in 24 hours are also noted.The side effects like hypotension and motor weakness are also assessed in both the groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 75.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients who have given consent.
- •ASA 1 and 2 patients Body Mass Index 18-40 kg/m2.
排除标准
- •Patients refusal.
- •Allergic to local anaesthetics.
- •Unable to comprehend VAS scale.
- •With severe cardio pulmonary dysfunction/ coagulopathy/ puncture site infection.
- •Conversion of minimally invasive colorectal surgery to open surgery.
结局指标
主要结局
To compare the USG guided lateral quadratus lumborum block with epidural block for post operative analgesia in patients undergoing minimally invasive colorectal surgery.
时间窗: 24 hours
次要结局
- To compare the time to first request of rescue analgesia in both the groups.(To compare the total requirement of fentanyl (mcg) in 24 hours post surgery in both the groups.)
研究者
Nasrin Nisha N
Kidwai Memorial Institute of Oncology