Status:

RECRUITING

Bilateral Ultrasound Guided Intramuscular Quadratus Lumborum Plane Block Versus Bilateral Lateral Quadratus Lumborum Plane Block in Controlling Postoperative Pain in Cancer Patients Undergoing Open Nephrectomy

Lead Sponsor:

National Cancer Institute, Egypt

Conditions:

Bilateral

Ultrasound

Eligibility:

All Genders

18-65 years

Phase:

NA

Brief Summary

This study aims to evaluate the efficacy of bilateral ultrasound-guided intramuscular quadratus lumborum plane block (QL4) versus bilateral lateral quadratus lumborum plane block (QL1) in controlling ...

Detailed Description

Post-surgical somatic pain is very distressing to patients, which may lead to significant complications. Practitioners initially used these as ilioinguinal, iliohypogastric, rectus sheath blocks, and...

Eligibility Criteria

Inclusion

  • Age from 18 to 65 years.
  • Both sexes.
  • American Society of Anesthesiology (ASA) physical status II-III.
  • Body mass index (BMI): (20- 40) kg/m2.
  • Type of surgery: midline incision for unilateral open nephrectomy.

Exclusion

  • Patient refusal.
  • Age \<18 years or \>65 years
  • BMI \<20 kg/m2 and \> 40 kg/m2
  • Known sensitivity or contraindication to drugs used in the study
  • Contraindication to regional anesthesia, e.g. local infection at the introduction site, pre-existing peripheral neuropathies and coagulopathy.
  • Physical status ASA IV
  • Patients on chronic analgesic therapy (daily morphine ≥30 mg or equivalent dose of other opioids or tramadol or any medication for neuropathic pain)
  • Patients with a history of drug abuse
  • Patients with neuropsychiatric diseases; patients with a history of chronic pain syndromes that may enhance sensitivity to pain, for example, fibromyalgia
  • All patients who are going to have severe intra- or post-operative bleeding or will require postoperative mechanical ventilation are also excluded from the study.

Key Trial Info

Start Date :

December 10 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 6 2025

Estimated Enrollment :

90 Patients enrolled

Trial Details

Trial ID

NCT06889987

Start Date

December 10 2024

End Date

December 6 2025

Last Update

March 21 2025

Active Locations (1)

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Page 1 of 1 (1 locations)

1

National Cancer Institute

Cairo, Egypt, 11796

Bilateral Ultrasound Guided Intramuscular Quadratus Lumborum Plane Block Versus Bilateral Lateral Quadratus Lumborum Plane Block in Controlling Postoperative Pain in Cancer Patients Undergoing Open Nephrectomy | DecenTrialz