Comparison of Quadratus Lumborum Block and Epidural Analgesia Following Kidney Transplant Surgery

NCT ID: NCT03771339

Last Updated: 2020-10-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-10

Study Completion Date

2020-01-31

Brief Summary

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Quadratus lumborum block as an alternative for postoperative analgesia compared with epidural block

Detailed Description

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Epidural analgesia is the main choice of analgesia following kidney transplant surgery. However, continuous epidural technique had some concerning side effects such as hemodynamic instabilities, urine retention, motor/sensory disturbances/weakness, and mobilisation comfort, it could also cause hypotension which could affect graft success. Quadratus lumborum (QL) block had lesser side effects thus could be an option for postoperative analgesia, however there are no study showing the safety and success rate of QL block techniques for patients who underwent kidney transplant surgery.

Conditions

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Postoperative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Continuous Epidural Analgesia

Continuous epidural analgesia using ropivacaine 0.375% 3 mL boluses followed by ropivacaine 0.2% with rate 6 mL per hour for 24 hours

Group Type ACTIVE_COMPARATOR

Continuous Epidural analgesia

Intervention Type PROCEDURE

Continuous Epidural catheter is inserted at the Thoracic 11-T12 level, using Ropivacaine 0.375% 3 mL bolus followed by Ropivacaine 0.2% with rate 6 mL/hour for 24 hours after laparoscopic nephrectomy

Bilateral Quadratus Lumborum Block

Bilateral Quadratus lumborum block using ropivacaine 0.2% 20 mL each injection after surgery

Group Type EXPERIMENTAL

Bilateral Quadratus Lumborum block

Intervention Type PROCEDURE

Bilateral anterior Quadratus Lumborum block using Ropivacaine 0.375% 20 mL each injection as postoperative analgesia treatment for 24 hours

Interventions

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Continuous Epidural analgesia

Continuous Epidural catheter is inserted at the Thoracic 11-T12 level, using Ropivacaine 0.375% 3 mL bolus followed by Ropivacaine 0.2% with rate 6 mL/hour for 24 hours after laparoscopic nephrectomy

Intervention Type PROCEDURE

Bilateral Quadratus Lumborum block

Bilateral anterior Quadratus Lumborum block using Ropivacaine 0.375% 20 mL each injection as postoperative analgesia treatment for 24 hours

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing elective kidney transplant laparotomy surgery
* Agrees to participate in research
* BMI \< 30 kg/m2

Exclusion Criteria

* Declines to participate in research
* Contraindications to intervention procedures (epidural or quadratus lumborum block)
* History of local anaesthetic allergy
* Systemic allergic reactions, anaphylactic reaction, cardiac arrest
* Failure of intervention procedures (epidural or quadratus lumborum block)
* Intraoperative complications (massive bleeding, hypotension)
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Indonesia University

OTHER

Sponsor Role lead

Responsible Party

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Dita Aditianingsih

Principal investigator, Anesthesiologist Consultant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dita Aditianingsih, M.D.

Role: PRINCIPAL_INVESTIGATOR

Indonesia University

Locations

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Rumah Sakit Cipto Mangunkusumo

Jakarta Pusat, DKI Jakarta, Indonesia

Site Status

Countries

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Indonesia

References

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Mochtar CA, Alfarissi F, Soeroto AA, Hamid ARAH, Wahyudi I, Marbun MBH, et al. Milestones of kidney transplantation in Indonesia. Med J Indones. 2017 Nov 27;26(3):229.

Reference Type BACKGROUND

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Reference Type BACKGROUND
PMID: 20400617 (View on PubMed)

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Reference Type BACKGROUND
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Other Identifiers

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IndonesiaUAnes030

Identifier Type: -

Identifier Source: org_study_id