Elective Major Abdominal Surgery Clinical Trial
Official title:
Ultra-sound Guided Bilateral Quadratus Lumborum Block Versus Epidural Block for Postoperative Analgesia After Major Abdominal Surgeries.
Acute postoperative pain is an important issue after major abdominal surgeries for which
different analgesic modalities have been tried.
Epidural analgesia is the recommended technique to relieve pain after major abdominal
surgeries owing to the proved superior analgesia, reduction of opioid-related side effects as
nausea, vomiting, pruritis and sedation, earlier recovery of bowel function and earlier
ability for postoperative mobility. However, it is not without complications.
Quadratus lumborum block is an ultrasound-guided block that provides patients with both
visceral and somatic blockade. It lessens the potential risks associated with neuraxial
techniques, so it may represent a novel alternative approach for analgesia after major
abdominal surgeries.
The aim of this study is to detect the feasibility of ultra-sound guided bilateral quadratus
lumborum block as a postoperative analgesic modality after major abdominal surgery in
comparison to epidural block and its effects on total rescue analgesic requirements in the
1st postoperative 24hours, time to first analgesic request, pain VAS scores, intraoperative
and postoperative hemodynamics and postoperative opioid-related side effects.
Under complete aseptic conditions, the patients will receive either thoracic epidural block
or bilateral ultrasound-guided quadratus lumborum block after induction of general
anaesthesia
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