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