Comparing the Early Postoperative Analgesic Effect of the Transmuscular Quadratus Lumborum Block Versus the Lumbar Plexus Block for Patients Undergoing Spiral Thighplasty Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- Visual analogue scale score
研究概览
简要总结
Whether trans muscular QLB provides postoperative analgesia compared with LPB after thigh lift surgery
详细描述
Adequate analgesia after spiral thigh reduction (thigh lift) is essential for early mobilization and patient satisfaction. Quadratus lumborum block (QLB) has shown analgesic efficacy comparable to lumbar plexus block (LPB) for hip area surgery with potential advantages in motor-sparing and safety
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
盲法说明
Computer-generated randomization in variable blocks; allocation sealed in opaque envelopes. Blocks performed by an anesthesiologist not involved in postoperative assessment. Patients and outcome assessors are blinded. Drape and opaque dressings conceal injection sites for both groups to preserve blinding
入排标准
- 年龄范围
- 18 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •ASA ( American Society of Anaesthesia) I-II
- •elective bilateral spiral thigh lift under general anesthesia
- •consent to regional block and trial participation
排除标准
- •Coagulopathy or therapeutic anticoagulation not meeting ASRA safety windows
- •infection at injection sites
- •allergy to local anesthetics
- •preexisting significant neuropathy
- •BMI > 35 kg/m² if impeding ultrasound visualization; renal/hepatic failure; pregnancy; inability to use NRS; chronic opioid use >60 mg oral morphine equivalents/day; contraindication to study analgesics.
研究组 & 干预措施
Group QLB
Ultrasound-Guided Trans-muscular QLB
干预措施: Ultrasound-Guided Trans-muscular QLB (Other)
Group LPB
Ultrasound-Guided Posterior Lumbar Plexus (Psoas Compartment) Block
干预措施: Ultrasound-Guided Posterior Lumbar Plexus (Psoas Compartment) Block (Other)
结局指标
主要结局
Visual analogue scale score
时间窗: 24 hours
Visual analogue scale score at 1st,6th,12th and 24 h (where 0 is interpreted as no pain, 1-4 mild pain, 5-6 moderate pain, 7-10 severe pain)
次要结局
- Time for first analgesic request(24 hours)
- Opioid consumption(24 hours)
- Time to walk >30 (meter)(24 hours)
- Performance Time(minutes)
- The number of patients who develop block-related complications(24 hours)
- the patients Satisfaction questionnaire(24 hours)
研究者
Amal Gouda Elsayed Safan
lecturer
Menoufia University