Comparison of Quadratus Lumborum Intramuscular and Transmuscular in Postoperative Pain

Acute pain is reported in approximately 80% of patients undergoing postoperative care for various types of surgical procedures in the United States. Another study reported patient postoperative pain intensity with 75% with severe pain in the first 1 to 2 postoperative days and 38% reporting moderate to severe pain at 14 postoperative days. Several modalities have been used as the standard for the management of pain postoperative C-sections.

One of the postoperative analgesic modalities for SC is quadratus lumborum block (QLB). This technique has advantages in relieving postoperative pain after C-section because it is considered to be able to relieve visceral pain as well as somatic pain. The transmuscular QLB (QLBT) approach is one of the most frequently used. This technique was found to be effective with regard to the distribution of analgesics to the paravertebral spaces which is the hallmark of QLB. However, this technique was found to be difficult to perform. Difficulties were reported related to the position of the procedure i.e. lateral or sitting position.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Pain, Postoperative Acute Pain Cesarean Section Complications Neurologic Manifestations Pain Pain, Acute Pathologic Processes Pathological Conditions, Signs and Symptoms Postoperative Complications Signs and Symptoms

Age range

18 year–35 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Sanglah General Hospital

Denpasar, Bali, 80114, Indonesia

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Underwent C-section with subarachnoid block
Aged 18-35 years old.
ASA preoperative physical status 1-2

Exclusion criteria

Coagulopathy
Anatomic abnormalities of the abdomen
History of allergy to local anesthesia
History of hyperalgesia
History of drug abuse (sedatives, opioids, paracetamol, or other pain relievers)
Require postoperative intensive care
Refuse to participate in research.

Treatment and study plan

Quadratus lumborum block after C-section surgery as postoperative pain management

Other

To manage postoperative pain, the subjects will be allocated to either QLB or QLTB group to receive the respective intervention.

Primary outcomes

Postoperative pain

Time frame: Up to 24 hours after surgery

Postoperative pain intensity measured by Visual Analog Scale (VAS), 0=no pain, 100=worst pain
Postoperative morphine requirements

Time frame: Up to 72 hours after surgery

Total delivered morphine dose after surgery to alleviate postoperative pain (measured by total delivered dose recorded on the Patient-Controlled Analgesia tool)

Sponsors and collaborators

Lead sponsor

Udayana University

Other

Registry information

Official study title

Comparison of the Effectiveness of Intramuscular and Transmucular Quadratus Lumborum Blocks Quality in Postoperative Pain

Important dates

Study start: 2021
Primary completion: 2021
Study completion: 2021
First posted: Aug 16, 2021
Registry last updated: Oct 19, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed