An interventional study of Anterior Quadratus lamborum block in Pain, Postoperative, sponsored by Alexandria University. Status unknown at 1 site in Egypt. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2018-04-19.
Sponsored by Alexandria University · Not applicable, Interventional, and Treatment
The study evaluates the effectiveness of anterior quadratus lumborum block for post operative analgesia after hip arthroplasty. Half of the participants will receive ultrasound guided anterior quadratus lumborum block using 30ml bupivacaine 0.375%, while the other half will not receive the block ( control group).
Sensory innervation of the hip region involves branches of the lumbar plexus and sacral plexus. Effective post operative analgesia can be approached by blocking the lumbar plexus at the level of the quadratus lumborum muscle. Quadratus lumborum block has several approach methods (anterior, lateral, posterior, and intramuscular). Anterior quadratus lumborum block also known as transmuscular QL block or QL3, the local anaesthetic (30ml of bupivacaine 0.375%) is injected between the psoas major muscle (PM) and the quadratus lumborum muscle (QL). Therefore, the anterior quadratus lumborum block may generate analgesia from T10 to L4 covering the sensory innervation of the hip region.
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This study's planned enrollment of 90 is above the median of 75 across 4,341 interventional studies indexed under Pain, Postoperative.
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Exclusion Criteria:
Anterior Quadratus lumborum block will be done for all patients of these group. Local anaesthetic (30ml of bupivacaine) will be injected in fascial plane between the quadratus lumborum muscle and Psoas major muscle by using the ultrasound.
Procedure: Anterior Quadratus lamborum block
Patients of these group will be the control group. The will receive acetaminophen 1g every 8h, ketorolac 30mg ever 12h and as required morphine 2mg for post operative analgesia after hip arthroplasty.
Local anaesthetic will be injected in the fascial plane between psoas major muscle and quadratus lumborum muscle.
Also known as: Transmuscular QL block, QL3
Pain intensity assessment
Patients will be trained to use visual analogue scale which consists of 10cm line, 0 cm equivalent to no pain and 10 cm denoting the worst imaginable pain.
Time frame: every hour for the first 4 post operative hours and then every 4 hours for the rest of the 24 post operative hours.
Total amount of post operative morphine (mg).
Total amount of post operative morphine (mg) used as rescue analgesia and the first time of its request.
Time frame: any time in the first 24 post operative hours.
Patient satisfaction.
Patient satisfaction with pain control will be assessed on a four point scale 1.Excellent 2.Good 3.fair 4.poor
Time frame: every hour in the first 4 post operative hours and then every 4 hours for the rest of the 24 post operative hours.
Plan to share: Yes — De identified individual participant data for all primary and secondary outcome measures will be made available.
Supporting information: Study protocol, Sap, Icf, Csr, Analytic code
This study is status unknown, as verified in Apr 2018. You cannot join it, but the record below documents what was studied.
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Alexandria University