Quality of Recovery After Quadratus Lumborum Block for Cesarean Section.

Quality of Recovery After Quadratus Lumborum Block for Cesarean Section: A Prospective Pilot Study

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03516786

Enrollment

Registered

2018-05-04

Start date

2018-04-01

Completion date

2019-10-01

Last updated

2020-09-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Postoperative Pain

Brief summary

The aim of this prospective study is to evaluate the recovery after cesarean section in patients who will receive Quadratus Lumborum Block (QLB) as a part of multimodal analgesia using Postoperative quality of recovery scale.

Detailed description

Several researchers had evaluated the effectiveness of QLB in controlling postoperative pain in different patient populations. In these studies, the effectiveness of the QLB was mainly assessed by postoperative pain scores and analgesia consumption, rather than adapting any of the more comprehensive recovery scales . Postoperative quality of recovery scale (PostopQRS) is a relatively new recovery score, which was first published on 2010, and was designed to be a tool for assessment of multiple domains in recovery. In this assessment tool, recovery was defined as return to the pre-surgery base line scores or better. The aim of this prospective study is to evaluate the recovery after cesarean section in patients who will receive Quadratus Lumborum Block QLB as a part of multimodal analgesia using Postoperative quality of recovery scale.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

FEMALE

Age

18 Years to 45 Years

Inclusion criteria

American Society of Anesthesiologists (ASA) physical status II, normal singleton pregnancy, 37 weeks gestation or more Scheduled for elective cesarean section

Exclusion criteria

* Patients refusing spinal * Patients with BMI \>35 kg/m2). * Expected difficult surgery (\> 3 previous sections, abnormal placentation, prolonged surgery more than 2 hours from skin to end) and Estimated Blood Loss more than 1500). * Expected difficult spinal anesthesia. * Abnormal coagulation and other contraindications for spinal anesthesia and/or QLB * Patient with chronic pain. * Patient treated from psychosis. * Patients with communication, language barriers .

Design outcomes

Primary

Measure	Time frame	Description
change from baseline postoperative quality of recovery score	72 hours	Domains of postoperative recovery score are : 1. The physiologic domain . 2. The nociceptive domain 3. The emotive domain . 4. Activities of daily living 5. Cognitive domain 6. Over all patients perspective domain

Countries

United Arab Emirates

Outcome results