Analgesic Efficacy of Ultrasound Guided Quadratus Lumborum Block During ESWL

Pain, Acute Clinical Trial

Official title:

Is Painless ESWL Possible? Analgesic Efficacy of Ultrasound Guided Quadratus Lumborum Block During Extracorporeal Shockwave Lithotripsy

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03080363
• Other study ID #: Ataturk University ESWL
• Status: Completed
• Phase: Phase 4
• First received: March 6, 2017
• Last updated: November 9, 2017
• Start date: March 15, 2017
• Est. completion date: June 5, 2017

Study information

• Verified date: November 2017
• Source: Ataturk University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Extracorporeal shockwave lithotripsy (ESWL) is widely used for the treatment of urinary tract calculi; however, the vast majority of patients do not tolerate the procedure without analgesia and sedation.

Lots of methods have been tried to control this pain (non-steroidal anti-inflammatory drugs, opioids, alpha 2 agonists, transversus abdominis plane block with long-acting local anesthetics, paravertebral block, local anesthetics infiltration, lidocaine/prilocaine cream).

The quadratus lumborum block was first described by Blanco. QL block is performed as one of the perioperative pain management procedures for abdominal surgery. QL block provides anesthesia and analgesia on the anterior and lateral wall of the abdomen.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: June 5, 2017
• Est. primary completion date: May 15, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• American Society of Anesthesiologist's physiologic state I-II patients undergoing Extracorporeal Shockwave Lithotripsy

Exclusion Criteria:

• chronic pain

• bleeding disorders

• renal or hepatic insufficiency

• patients on chronic non-steroidal anti-inflammatory medications

• emergency cases

Related Conditions & MeSH terms

• Acute Pain
• Pain, Acute

Intervention

Drug:
• Bupivacaine
10 ml %0.5 bupivacaine
• Lidocaine
10 ml %2 lidocaine

Locations

Country	Name	City	State
Turkey	Ataturk University	Erzurum

Sponsors (1)

Lead Sponsor	Collaborator
Ataturk University

Country where clinical trial is conducted

Turkey, 

References & Publications (2)

Elnabtity AM, Tawfeek MM, Keera AA, Badran YA. Is unilateral transversus abdominis plane block an analgesic alternative for ureteric shock wave lithotripsy? Anesth Essays Res. 2015 Jan-Apr;9(1):51-6. doi: 10.4103/0259-1162.150177. — View Citation

Hanoura S, Elsayed M, Eldegwy M, Elsayed A, Ewieda T, Shehab M. Paravertebral block is a proper alternative anesthesia for outpatient lithotripsy. Anesth Essays Res. 2013 Sep-Dec;7(3):365-70. doi: 10.4103/0259-1162.123238. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Visual Analog Pain Score	Visual Analog Pain Score at 5.,10.,15., 20., 25., 30. minutes	Intraoperative 30 minutes
Secondary	Opioid consumption	Opioid consumption at 5.,10.,15., 20., 25., 30. minutes	Intraoperative 30 minutes