Qudratus Lumborum Block Versus Unilateral Intrathecal Block for Inguinal Hernia Repair

Inguinal Hernia,Quadratus Lumborum Block , Unilateral Intrathecal Block Clinical Trial

Official title:

Ultrasound Guided Qudratus Lumborum Block Versus Unilateral Intrathecal Block for Patient Undergoing Inguinal Hernia Repair

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT04805580
• Other study ID #: Qudratus lumborum block
• Status: Not yet recruiting
• Phase: N/A
• Start date: May 2021
• Est. completion date: October 2021

Study information

• Verified date: April 2021
• Source: Zagazig University
• Contact: Hala Rashad
• Phone: +201148737769
• Email: rashad_hala[@]yahoo.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

compare between Quadratus lumborum block and unilateral intrathecal block for patients undergoing inguinal hernia repair regarding the quality of anesthesia and hemodynamic stability of patients.

Description:

comparison between unilateral intrathecal block anesthesia (unilateral SA) and Quadratus lumborum block for inguinal hernia repair unilateral intrathecal block is widely used nowadays for unilateral inguinal hernia repair, providing intense sensory and motor blockade. Limiting the block to the operative site by using small doses of hyperbaric solutions injected slowly through a directional needle and maintaining a lateral decubitus position for a certain duration has been proposed, to produce high quality, long-duration analgesia, with minimal hemodynamic adverse events.

Previous case report studies stated that we can use Quadratus Lumborum Block as the sole anesthetic technique for open hernia repair.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 50
• Est. completion date: October 2021
• Est. primary completion date: September 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

• physical status ASA: I-II BMI >18kg/m2<30kg/m2 written informed consent from the patient scheduled for open unilateral inguinal hernia repair

Exclusion Criteria:

• uncooperative patient

• Allergy to local anesthetic drugs

• patients on chronic alcohol, opioid, tranquilizer or sedative use

• Pregnant females.

• Psychological, mental disorders, or depression.

• Patients receiving anticoagulants therapy or suspected coagulopathy.

• Patients with infection or previous surgery at sit of anesthetic procedures.

• Patients with significant cardiovascular, respiratory, renal, hepatic, or metabolic disease

Related Conditions & MeSH terms

• Hernia
• Hernia, Inguinal
• Inguinal Hernia,Quadratus Lumborum Block , Unilateral Intrathecal Block

Intervention

Procedure:
• unilateral intrathecal block
Quadratus lunborum block

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Zagazig University

References & Publications (3)

Favaro ML, Gabor S, Souza DBF, Araújo AA, Milani ALC, Ribeiro Junior MAF. Quadratus Lumborum Block As A Single Anesthetic Method For Laparoscopic Totally Extraperitoneal (Tep) Inguinal Hernia Repair: A Randomized Clinical Trial. Sci Rep. 2020 May 22;10(1):8526. doi: 10.1038/s41598-020-65604-x. — View Citation

Isil CT, Çinar AS, Oba S, Isil RG. Comparison of Spinal Anaesthesia and Paravertebral Block in Unilateral Inguinal Hernia Repair. Turk J Anaesthesiol Reanim. 2014 Oct;42(5):257-63. doi: 10.5152/TJAR.2014.75508. Epub 2014 Jul 9. — View Citation

La Colla L, La Colla MDL, Schroeder R, Schroeder RMD. Quadratus Lumborum Block as Sole, Homeostatic-Preserving Anesthetic for a Patient with Multiple System Atrophy Undergoing Open Inguinal Hernia Repair: A Case Report. Case Rep Anesthesiol. 2018 Jun 28;2018:7161860. doi: 10.1155/2018/7161860. eCollection 2018. Erratum in: Case Rep Anesthesiol. 2018 Aug 19;2018:8316750. La Colla MDL [corrected to La Colla L], Schroeder RMD [corrected to Schroeder R]. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	To assess safety of quadratus lumborum block vs unilateral intrathecal block for inguinal hernia repair: complications of the block	complications of the block in each group like inadequate blockade detected by increased dose of sedation required in this group ,hemodynamic instability related to the block detected by frequent monitoring of the blood pressure and heart rate	2 hours
Secondary	To compare the onset and duration of sensory block between both blocks	the onset of pin brick discrimination and time of first request of analgesics after block performance in each group	12 hours
Secondary	To compare the time to ambulation	the time till the patient succeed in ambulation	24 hours