Quadratus Lumborum Block Versus Transversus Abdominus Plane Block for Pain Management After Donor Nephrectomy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 48
- 试验地点
- 1
- 主要终点
- Average Pain Score
研究概览
简要总结
To evaluate quadratus lumborum block effect on post operative pain scores during the first 24 hours after surgery as compared to transversus abdominis plane block after laparoscopic donor nephrectomy patients.
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
- Triple (Participant, Care Provider, Outcomes Assessor)
盲法说明
Prospective randomized double-blinded trial to compare TAP block versus QL block for pain management in living donor nephrectomy patients. Participants will be blinded to the type of block received and physicians will be blinded both intra- and post-op regarding which block patients received. The team who performs the block will know which block the patient received. No one else involved in the care of the patient will know. The surgery team will not know, and the primary (in the OR) anesthesia team will not know. None of the providers involved in post-operative care of the patient will know.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients undergoing laparoscopic assisted donor nephrectomy
- •Patients that have elected to have a nerve block
- •18 years of age or older
- •Patients of ASA status I - III
排除标准
- •Chronic pain or narcotic usage during the preceding 30 days
- •Infection at or near the intended needle insertion site
- •Complex or altered abdominal wall anatomy
- •Weight <45kg
研究组 & 干预措施
QL Block
Blocks will be performed under the supervision of a regional anesthesia attending experienced in the performance QL blocks. QL block will be performed using ropivacaine 0.375% 20ml each side for a total volume of 40cc.
干预措施: QL Block (Procedure)
TAP Block
Blocks will be performed under the supervision of a regional anesthesia attending experienced in the performance TAP blocks. TAP block will be performed using ropivacaine 0.375% 20ml each side for a total volume of 40cc.
干预措施: TAP Block (Procedure)
结局指标
主要结局
Average Pain Score
时间窗: 24 hours post operative
NRS patient reported (number rated pain score, 0=no pain - 10=highest pain) over the first 24 hours post operative.
次要结局
- Number of Participants With Block Related Complications(24 hours)
- Total Cumulative Opioids(72 hours)
- Number of Participants With Nausea or Emesis Requiring Antiemetic Medication(24 hours)
- Length of Stay in Post Anesthesia Care Unit (PACU)(24 hours)
- Length of Hospital Stay(3 days)
研究者
Eric Bolin
Associate Professor
Medical University of South Carolina