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Clinical Trials/NCT03502369
NCT03502369UnknownNot Applicable

Randomized, Controlled, Double Blind Trial of Ultrasound Guided Quadratus Lumborum Block for Post Operative Analgesia After Hip Arthroplasty

Alexandria University2 sites in 1 country90 target enrollmentStarted: September 2018Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Enrollment
90
Locations
2
Primary Endpoint
Pain intensity assessment

Study Overview

Brief Summary

The study evaluates the effectiveness of anterior quadratus lumborum block for post operative analgesia after hip arthroplasty. Half of the participants will receive ultrasound guided anterior quadratus lumborum block using 30ml bupivacaine 0.375%, while the other half will not receive the block ( control group).

Detailed Description

Sensory innervation of the hip region involves branches of the lumbar plexus and sacral plexus. Effective post operative analgesia can be approached by blocking the lumbar plexus at the level of the quadratus lumborum muscle. Quadratus lumborum block has several approach methods (anterior, lateral, posterior, and intramuscular). Anterior quadratus lumborum block also known as transmuscular QL block or QL3, the local anaesthetic (30ml of bupivacaine 0.375%) is injected between the psoas major muscle (PM) and the quadratus lumborum muscle (QL). Therefore, the anterior quadratus lumborum block may generate analgesia from T10 to L4 covering the sensory innervation of the hip region.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Single (Outcomes Assessor)

Eligibility Criteria

Ages
18 Years to 80 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • American society of anesthesiologists physical status |-||| , scheduled to undergo unilateral hip replacement via lateral approach.

Exclusion Criteria

  • patient refusal.
  • History of neurological/neuromuscular, psychiatric, dementia preventing proper comprehension.
  • coagulation disorders.
  • History of allergy to the study medication.
  • Infection overlying the injection site.

Arms & Interventions

QL group

Experimental

Anterior Quadratus lumborum block will be done for all patients of these group. Local anaesthetic (30ml of bupivacaine) will be injected in fascial plane between the quadratus lumborum muscle and Psoas major muscle by using the ultrasound.

Intervention: Anterior Quadratus lamborum block (Procedure)

C group

No Intervention

Patients of these group will be the control group. The will receive acetaminophen 1g every 8h, ketorolac 30mg ever 12h and as required morphine 2mg for post operative analgesia after hip arthroplasty.

Outcomes

Primary Outcomes

Pain intensity assessment

Time Frame: every hour for the first 4 post operative hours and then every 4 hours for the rest of the 24 post operative hours.

Patients will be trained to use visual analogue scale which consists of 10cm line, 0 cm equivalent to no pain and 10 cm denoting the worst imaginable pain.

Secondary Outcomes

  • Total amount of post operative morphine (mg).(any time in the first 24 post operative hours.)

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Abdullah Gaber

Registeral

Alexandria University

Study Sites (2)

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