Health Condition 1: null- ASA-1/2 patients, aged 18-65 years undergoing uni/bilateral inguinal hernia repair by TAPP approch. both sexes included Health Condition 2: M958- Other specified acquired deformities of musculoskeletal system
Conditions
Interventions
Intervention1: Quadratus lumborum block: truncal block applied as apart of multimodal analgesia in many surgeries. we will use transmuscular approach of Quadratus Lumborum block where local anesthetic
Sponsors
AIIMS hospital
Eligibility
Inclusion criteria
Inclusion criteria: ASA 1 and 2, both unilateral and bilateral inguinal hernia
Exclusion criteria
Exclusion criteria: refusal to consent, BMI >35 kg/m2, history of allergy to local anesthetic, history of neurological or psychiatric disorder, active infection at the site of injection, bleeding diathesis-platelet count 1.5, patients unable to comprehend use of PCA pump, patients with recurrent or complicated hernia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the intraoperative and post-operative Fentanyl consumption over 24 hours of surgeryTimepoint: 24 hours post-operatively | — |
Secondary
| Measure | Time frame |
|---|---|
| assessment of dermatomal coverage by 3 point scaleTimepoint: upto 30 minutes;calculate total performance time in each groupTimepoint: during blocks;comparison of NRS score between the two groupTimepoint: after awakenig,1hr, 2hr, 4 hr, 6hr,12 hr, 24 hr;incidence of post-operative nausea and vomittingTimepoint: 24 hours;observation of lower limb weaknessTimepoint: 24 hours;quality of life assessment by SF-36 questionnaireTimepoint: 3 months post-operatively;quality of recovery at 24 hours by QoR-40 questionnaireTimepoint: 24 hours;time to first analgesic requirement indicated by the time when patient presses PCA buttonTimepoint: immediate post operative period | — |
Countries
India
Contacts
Public ContactAVISHEK ROY
AIIMS, NEW DELHI
Outcome results
None listed