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Comparison of Two Approaches of Quadratus Lumborum Block for Post-operative Analgesia in Radical Cystectomy

Quadratus Lumborum Block Clinical Trial

Official title:
Comparison of Two Approaches of Quadratus Lumborum Block for Post-operative Analgesia in Radical Cystectomy: Prospective-randomized Clinical Trial

Clinical Trial Summary

To compare the postoperative analgesic effect of two ultrasound guided approaches of quadratus lumborum block (QLB) (anterior and intramuscular) for radical cystectomy.

Clinical Trial Description

The quadratus lumborum block (QLB) is one of the abdominal wall block techniques used to anesthetize thoracolumbar nerves . The QLB technique was described initially by Blanco et al. in 2007 (not published), then reported initially by Kadam in 2013. Since then, QLB has evolved with the development of the ultrasound-guided nerve block. To date, several randomized controlled trials have reported effective postoperative analgesia, with non-intramuscular QLB for cesarean sections, laparoscopic gynecologic surgery and hip hemiarthroplasty . The intramuscular QLB (QLBi) technique was first reported by. This approach is different from others in tubouchi for QLB; although the injection target sites of the other approaches are planes around the quadratus lumborum muscle, the intramuscular approach penetrates the fascia of the quadratus lumborum muscle, where local anesthetics are injected. Therefore, QLBi is relatively easier to perform compared with other QLB approaches. The incidence of urinary bladder cancer in the Middle East and Africa is greater in areas with high rather than low SH prevalence. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT05089994
Study type Interventional
Source Assiut University
Contact Hassan Mostafa abdelbaky ahmed, Master
Phone 01060264751
Email hassan.mostafa9444@gmail.com
Status Recruiting
Phase N/A
Start date October 6, 2021
Completion date June 25, 2024
View Details
See also
  Status Clinical Trial Phase
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Recruiting NCT05158270 - Erector Spinae Plane Block As Alternative Analgesic Modality in Laparoscopic Cholecystectomy N/A
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