Interfascial Pressure Into Ultrasound Guided Anterior Quadratus Lumborum Block Application

Not Applicable

Completed

• Conditions: Block
• Interventions: Device: inter-fascial pressure

• Registration Number: NCT04094987
• Lead Sponsor: Bursa Yüksek İhtisas Education and Research Hospital

Brief Summary

The block has been shown to be the result of abdominal analgesia as a result of application between the quadratus lumborum (QL) muscle and the leaves in the thoracolumbar fascia.

In this block, local anesthetic drugs are administered between the quadratus lumborum (QL) muscle and the anterior leaf in the thoracolumbar fascia.

In this way, it has been reported that it provides a good analgesia as it relieves somatic pain better in upper and lower abdominal surgeries.

Detailed Description

The mechanism of QLB analgesic contains many theories. This study includes the research relationship between the effect of fascial pressure and the success of the association block. We will use the ultrasound guided anterior Quadratus Lumborum Block. A peripheral nerve block catheter will be placed between the quadratus lumborum muscle and the psoas muscle with ultrasound.The pressure between the fascia and the pressure line added to the catheter tip will be measured.A peripheral nerve block catheter will be placed between the quadratus lumborum muscle and the psoas muscle with ultrasound. The pressure between the fascia and the pressure line added to the catheter tip will be measured.

Study Timeline

• Study First Submitted: 2019-09-11
• Study First Submitted QC: 2019-09-17
• Study First Posted: 2019-09-19
• Study Start: 2019-09-29
• Primary Completion: 2019-10-15
• Study Completion: 2020-09-15
• Status Verified: 2021-02
• Last Update Submitted: 2021-02-01
• Last Update Posted: 2021-02-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 72

Inclusion Criteria

Patients who were in the American Society of Anesthesiologists (ASA) I-III class

• Underwent laparoscopic cholecystectomy

Exclusion Criteria

• Previous history of preoperative opioid use,
• Allergy to local anesthetics,
• The presence of any systemic infection,
• Uncontrolled arterial hypertension,
• Uncontrolled diabetes mellitus
• Presence of infection in the block area,

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Quadratus Lumborum block	inter-fascial pressure	We will use the ultrasound guided anterior Quadratus Lumborum Block.A peripheral nerve block catheter will be placed between the quadratus lumborum muscle and the psoas muscle with ultrasound

Primary Outcome Measures

Name	Time	Method
Interfascial Pressure (mm/hg)	24 hours.	İnterfascial pressure will be measured the postoperative 24. hours through catheter.

Secondary Outcome Measures

Name	Time	Method
sensory block level	peroperative 3 hours	After the application, the sensory block level at the 30 minutes after the block application and 30 minutes after the operation will be determined by cold test.
Visual Analog Scale	Postoperative 24 hours	Visual Analog Scale was used for pain.Pain intensity was measured using 0-10 cm visual analogue scale (VAS). (0=no pain, 10=intolerable pain)
analgesic use	Postoperative 24 hours	analgesic use

Trial Locations

Locations (1)

University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital; 🇹🇷 Bursa, Turkey