An interventional study of Continous Quadratum Lumborum Block III and Single dose Quadratum Lumborum Block III in Analgesia, Surgery and Renal Stone, sponsored by Nazmy Edward Seif. Completed at 1 site in Egypt. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-07-22.
Sponsored by Nazmy Edward Seif · Not applicable, Interventional, and Supportive care
Percutaneous nephrolithotomy (PCNL) is considered to be the first choice and a more conservative procedure than open stone surgery. Not only postoperative pain related to dilatation of the renal capsule and parenchymal tract, but also patient's discomfort \& nephrostomy tube-related stress are reported to delay recovery time and increase the complication rates. This study is designed to provide postoperative analgesia by using ultrasound-guided continuous Quadratus Lumborum Block (QLB) III in patients undergoing PCNL and to assess pain scores \& side effects with less opioids consumption.
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This study's enrollment of 45 is below the median of 75 across 1,089 interventional studies indexed under Agnosia.
Browse Agnosia studies →Nazmy Edward Seif is the lead sponsor of 14 studies on the registry; 3 are open to participants now.
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Exclusion Criteria:
U/S-guided continous QLB III
Procedure: Continous Quadratum Lumborum Block III · Procedure: Single dose Quadratum Lumborum Block III · Procedure: Intra-venous Morphine
U/S-guided single dose QLB III
Procedure: Single dose Quadratum Lumborum Block III · Procedure: Intra-venous Morphine
IV Morphine
Procedure: Intra-venous Morphine
Continuous infusion of Bupivacaine 0.125 % at a rate of 0.1 ml/kg/hr (not exceeding 12 ml/hour), infused through a catheter inserted in the plane between quadratus lumborum \& psoas major muscles with ultrasound guidance.
Single injection of a mixture solution of 20 ml Bupivacaine 0.5% + 10 ml Lidocaine 2%, injected through a needle inserted at the posterior aspect of the quadratus lumborum muscle between it and erector spinae muscle with ultrasound guidance.
Intra-venous Morphine \[0.1 mg/kg\] as rescue analgesic shots when the Visual Analogue Score (VAS) for pain exceeds 4.
Morphine consumption.
Total dose of Morphine (measured in mg) given intra-venously to the patient post-operatively.
Time frame: 24 hours
Plan to share: Undecided
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This study is completed, as verified in Jul 2022. You cannot join it, but the record below documents what was studied.
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Nazmy Edward Seif