NCT07343570尚未招募3 期
Comparing Ultrasound-guided Lateral Quadratus Lumborum Block Versus Combined Ilio-inguinal/Ilio-hypogastric /Genitofemoral Block for Postoperative Analgesia After Open Inguinal Hernia Repair: A Double-blind Randomized Controlled Trial
试验速览
- 阶段
- 3 期
- 状态
- 尚未招募
- 入组人数
- 66
- 试验地点
- 1
- 主要终点
- Cumulative opioid consumption in the first 24 hours postoperatively
研究概览
简要总结
This double-blind randomized controlled trial aimes to compares two ultrasound-guided regional techniques-lateral quadratus lumborum block versus combined ilio-inguinal/ilio-hypogastric/genitofemoral (II-IH-GFN) block-for postoperative analgesia after elective unilateral open inguinal hernia repair under spinal anesthesia in adults.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged 18-75 years.
- •ASA physical status I-III.
- •Scheduled for elective unilateral open inguinal hernia repair under standardized spinal anesthesia.
- •Able to understand and use the Visual Analogue Scale (VAS).
- •Provided written informed consent.
排除标准
- •Allergy to local anesthetics.
- •Coagulopathy or current use of anticoagulants contraindicating peripheral nerve blocks.
- •Infection at the injection site.
- •Chronic opioid use (daily opioids >2 weeks) or chronic pain syndromes.
- •Body mass index (BMI) >40 kg/m².
- •Conversion to other surgery or bilateral repair.
- •Pregnant patients.
- •Refusal to sign informed consent.
结局指标
主要结局
Cumulative opioid consumption in the first 24 hours postoperatively
时间窗: 24 hours after surgery.
Measures the total amount of opioid analgesics (expressed as morphine milligram equivalents, MME) consumed during the first postoperative 24 hours. It reflects overall analgesic efficacy of the two block techniques.
次要结局
- Pain intensity (VAS pain scores at rest )(24 hours postoperatively.)
- Pain intensity (VAS pain scores at movement)(24 hours postoperatively.)
- Time to first analgesic request(24 hours.)
- Proportion of patients requiring rescue opioid analgesia(24 hours.)
- Incidence of postoperative block-related complications(24 hours.)
- Patient satisfaction score(Assessed at 24 hours postoperatively.)
- Post-anesthesia care unit (PACU) stay duration(24 hours)
- Total hospital stay duration(24 hours)
研究者
Neveen Abd El Maksoad Kohaf
Lecturer of Clinical Pharmacy
Al-Azhar University
研究点 (1)
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