Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Group 1- Quadratus Lumborum block: After induction with General Anaesthesia.Patients will be placed in the lateral decubitus position with the surgical side upward. Quadratus lumborum b
Sponsors
Himalayan Institute of Medical Sciences
Eligibility
Inclusion criteria
Inclusion criteria: 1. Type of laparoscopic surgery- Laparoscopic Nephrectomy 2. American Society of Anesthesiologist (ASA) physical status Grade I and II
Exclusion criteria
Exclusion criteria: 1. Known allergies to Local anesthetics. 2. Bleeding disorders 3. Infection at local site 4. Severe Liver and kidney disfunction 5. BMI above 30 kg/m2 6. Inability to give informed consent 7. Psychiatric Disorder
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate post operative analgesic effect of ultrasound guided Quadratus lumborum block and ultrasound guided retro laminar block using NRS pain scoring systemTimepoint: To study total Tramadol consumption over 24 hrs and to study pain intensity at 0,30 mins,2,4,6,8,12,18 and 24 hrs interval respectively | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Total opioid consumption over 24 hours 2. Time of first analgesic used over 24 hours ( time from PACU discharge To first requested analgesic) 3. Patient satisfaction using a Likert-scale questionnaire on POD-1 · Any opioid related side effects like respiratory depression, pruritis within the first 24 hours.Timepoint: Preoperatively (baseline), immediately after block 0.5,10,15,20,25,30, during induction and intubation, intraoperatively at 5,10,15,20,25,30,45,60,75,90,105,120 mins and postoperatively at 0,15,30 mins, 1,2,3,4,6,8,10,12,16,20 and 24 hrs interval respectively. | — |
Countries
India
Contacts
Public ContactDr Amrit Bhardwaj
Himalayan institute of medical sciences
Outcome results
None listed