Combined Rectus Sheath and Quadratus Lumborum Blocks Versus Quadratus Lumborum Block Alone for Movement-evoked Pain After Laparoscopic Gynecologic Surgery: a Prospective Randomized Open-label Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Postoperative pain intensity
研究概览
简要总结
The purpose of this study is to evaluate the clinical efficacy of combining ultrasound-guided bilateral rectus sheath blocks (RSB) and quadratus lumborum blocks (QLB) compared to using a quadratus lumborum block alone for postoperative analgesia in patients undergoing laparoscopic gynecological surgeries.
The primary objective is to assess movement-evoked pain scores in the early postoperative period. Secondary objectives include the evaluation of postoperative opioid consumption, intraoperative hemodynamic stability, and the overall incidence of side effects. Investigators hypothesize that the combined interfacial abdominal wall block technique will provide superior pain relief and reduce opioid requirements during recovery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 25 Years 至 65 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Scheduled for elective gynecological video-laparoscopic surgery.
- •ASA physical status І-ІІ.
- •Age between 18 and 65 years.
- •Patient's informed consent to participate in the study
排除标准
- •Known allergy or contraindications to local anesthetics.
- •Infection at the potential needle insertion sites.
- •Coagulopathy or ongoing anticoagulant therapy.
- •Conversion to open laparotomy during surgery.
- •Severe cognitive impairment or psychiatric disorders.
结局指标
主要结局
Postoperative pain intensity
时间窗: At 2, 4, 6, 12, and 24 hours postoperative assessment
Visual Analog Scale (VAS) score. Scale from 0 to 10. 0 means no pain. 10 means worst pain. Lower scores sindicate less pain.
次要结局
- Total opioid consumption. Postoperative period. Measured in milligrams.(Within 24 hours after surgery.)
研究者
Slipukha Denys
Staff Anesthesiologist
Medical and Diagnostic Center "MEDION" LLC