Ultrasound Guided Qudratus Lumborum Block Versus Unilateral Intrathecal Block for Patient Undergoing Inguinal Hernia Repair
试验速览
- 阶段
- 不适用
- 入组人数
- 50
- 主要终点
- To assess safety of quadratus lumborum block vs unilateral intrathecal block for inguinal hernia repair: complications of the block
研究概览
简要总结
compare between Quadratus lumborum block and unilateral intrathecal block for patients undergoing inguinal hernia repair regarding the quality of anesthesia and hemodynamic stability of patients.
详细描述
comparison between unilateral intrathecal block anesthesia (unilateral SA) and Quadratus lumborum block for inguinal hernia repair unilateral intrathecal block is widely used nowadays for unilateral inguinal hernia repair, providing intense sensory and motor blockade. Limiting the block to the operative site by using small doses of hyperbaric solutions injected slowly through a directional needle and maintaining a lateral decubitus position for a certain duration has been proposed, to produce high quality, long-duration analgesia, with minimal hemodynamic adverse events.
Previous case report studies stated that we can use Quadratus Lumborum Block as the sole anesthetic technique for open hernia repair.
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
- Double (Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •physical status ASA: I-II BMI >18kg/m2<30kg/m2 written informed consent from the patient scheduled for open unilateral inguinal hernia repair
排除标准
- •uncooperative patient
- •Allergy to local anesthetic drugs
- •patients on chronic alcohol, opioid, tranquilizer or sedative use
- •Pregnant females.
- •Psychological, mental disorders, or depression.
- •Patients receiving anticoagulants therapy or suspected coagulopathy.
- •Patients with infection or previous surgery at sit of anesthetic procedures.
- •Patients with significant cardiovascular, respiratory, renal, hepatic, or metabolic disease
结局指标
主要结局
To assess safety of quadratus lumborum block vs unilateral intrathecal block for inguinal hernia repair: complications of the block
时间窗: 2 hours
complications of the block in each group like inadequate blockade detected by increased dose of sedation required in this group ,hemodynamic instability related to the block detected by frequent monitoring of the blood pressure and heart rate
次要结局
- To compare the onset and duration of sensory block between both blocks(12 hours)
- To compare the time to ambulation(24 hours)
研究者
Hala mohamed Rashad mohamed
principal investigator
Zagazig University