Interfascial Pressure Into Ultrasound Guided Anterior Quadratus Lumborum Block Application

Block Clinical Trial

Official title:

Investigation of the Effect of Interfacial Pressure on Block Success During Anterior Quadratus Lumborum Block Application

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04094987
• Other study ID #: 2011-KAEK-25 2019/05-26
• Status: Completed
• Phase: N/A
• Start date: September 29, 2019
• Est. completion date: September 15, 2020

Study information

• Verified date: February 2021
• Source: Bursa Yüksek Ihtisas Education and Research Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The block has been shown to be the result of abdominal analgesia as a result of application between the quadratus lumborum (QL) muscle and the leaves in the thoracolumbar fascia. In this block, local anesthetic drugs are administered between the quadratus lumborum (QL) muscle and the anterior leaf in the thoracolumbar fascia. In this way, it has been reported that it provides a good analgesia as it relieves somatic pain better in upper and lower abdominal surgeries.

Description:

The mechanism of QLB analgesic contains many theories. This study includes the research relationship between the effect of fascial pressure and the success of the association block. We will use the ultrasound guided anterior Quadratus Lumborum Block. A peripheral nerve block catheter will be placed between the quadratus lumborum muscle and the psoas muscle with ultrasound.The pressure between the fascia and the pressure line added to the catheter tip will be measured.A peripheral nerve block catheter will be placed between the quadratus lumborum muscle and the psoas muscle with ultrasound. The pressure between the fascia and the pressure line added to the catheter tip will be measured.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 72
• Est. completion date: September 15, 2020
• Est. primary completion date: October 15, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

Patients who were in the American Society of Anesthesiologists (ASA) I-III class

• Underwent laparoscopic cholecystectomy

Exclusion Criteria:

• Previous history of preoperative opioid use,
• Allergy to local anesthetics,
• The presence of any systemic infection,
• Uncontrolled arterial hypertension,
• Uncontrolled diabetes mellitus
• Presence of infection in the block area,

Related Conditions & MeSH terms

• Block

Intervention

Device:
• inter-fascial pressure
The pressure between the fascia and the pressure line added to the catheter tip will be measured.

Locations

Country	Name	City	State
Turkey	University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital	Bursa

Sponsors (1)

Lead Sponsor	Collaborator
Bursa Yüksek Ihtisas Education and Research Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Interfascial Pressure (mm/hg)	Interfascial pressure will be measured the postoperative 24. hours through catheter.	24 hours.
Secondary	sensory block level	After the application, the sensory block level at the 30 minutes after the block application and 30 minutes after the operation will be determined by cold test.	peroperative 3 hours
Secondary	Visual Analog Scale	Visual Analog Scale was used for pain.Pain intensity was measured using 0-10 cm visual analogue scale (VAS). (0=no pain, 10=intolerable pain)	Postoperative 24 hours
Secondary	analgesic use	analgesic use	Postoperative 24 hours