Pain, Acute
Conditions
Keywords
Extracorporeal Shockwave Lithotripsy, Quadratus Lumborum Block, bupivacaine, lidocaine
Brief summary
Extracorporeal shockwave lithotripsy (ESWL) is widely used for the treatment of urinary tract calculi; however, the vast majority of patients do not tolerate the procedure without analgesia and sedation. Lots of methods have been tried to control this pain (non-steroidal anti-inflammatory drugs, opioids, alpha 2 agonists, transversus abdominis plane block with long-acting local anesthetics, paravertebral block, local anesthetics infiltration, lidocaine/prilocaine cream). The quadratus lumborum block was first described by Blanco. QL block is performed as one of the perioperative pain management procedures for abdominal surgery. QL block provides anesthesia and analgesia on the anterior and lateral wall of the abdomen.
Interventions
10 ml %0.5 bupivacaine
10 ml %2 lidocaine
Sponsors
Study design
Eligibility
Inclusion criteria
* American Society of Anesthesiologist's physiologic state I-II patients undergoing Extracorporeal Shockwave Lithotripsy
Exclusion criteria
* chronic pain * bleeding disorders * renal or hepatic insufficiency * patients on chronic non-steroidal anti-inflammatory medications * emergency cases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Pain Score | Intraoperative 30 minutes | Visual Analog Pain Score at 5.,10.,15., 20., 25., 30. minutes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Opioid consumption | Intraoperative 30 minutes | Opioid consumption at 5.,10.,15., 20., 25., 30. minutes |
Countries
Turkey (Türkiye)