Qudratus Lumborum Block Versus Unilateral Intrathecal Block for Inguinal Hernia Repair

NCT ID: NCT04805580

Last Updated: 2021-04-06

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-31

Study Completion Date

2021-10-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Inguinal Hernia,Quadratus Lumborum Block , Unilateral Intrathecal Block

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

2 groups (25 in each group) group intrathecal block group quadratus lumborum block
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Caregivers Outcome Assessors

Study Groups

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intrathecal block

patients (25) will receive unilateral intrathecal block using 1.5 ml of hyperbaric bupivacaine

Group Type ACTIVE_COMPARATOR

unilateral intrathecal block

Intervention Type PROCEDURE

Quadratus lunborum block

Quadratus lumborum block

patients (25) will receive quadratus lumborum block by an anterior approach using 30 ml of bupivacaine 0.25%

Group Type ACTIVE_COMPARATOR

unilateral intrathecal block

Intervention Type PROCEDURE

Quadratus lunborum block

Interventions

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unilateral intrathecal block

Quadratus lunborum block

Intervention Type PROCEDURE

Other Intervention Names

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unilateral spinal anaesthesia

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Zagazig University

OTHER_GOV

Sponsor Role lead

Responsible Party

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Hala mohamed Rashad mohamed

principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Hala Rashad

Role: CONTACT

+201148737769

Asmaa El-Deen=

Role: CONTACT

+21271550089

References

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Favaro ML, Gabor S, Souza DBF, Araujo 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.

Reference Type BACKGROUND
PMID: 32444629 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 30050698 (View on PubMed)

Isil CT, Cinar 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.

Reference Type BACKGROUND
PMID: 27366432 (View on PubMed)

Other Identifiers

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Qudratus lumborum block

Identifier Type: -

Identifier Source: org_study_id

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