Block
Conditions
Brief summary
The block has been shown to be the result of abdominal analgesia as a result of application between the quadratus lumborum (QL) muscle and the leaves in the thoracolumbar fascia. In this block, local anesthetic drugs are administered between the quadratus lumborum (QL) muscle and the anterior leaf in the thoracolumbar fascia. In this way, it has been reported that it provides a good analgesia as it relieves somatic pain better in upper and lower abdominal surgeries.
Detailed description
The mechanism of QLB analgesic contains many theories. This study includes the research relationship between the effect of fascial pressure and the success of the association block. We will use the ultrasound guided anterior Quadratus Lumborum Block. A peripheral nerve block catheter will be placed between the quadratus lumborum muscle and the psoas muscle with ultrasound.The pressure between the fascia and the pressure line added to the catheter tip will be measured.A peripheral nerve block catheter will be placed between the quadratus lumborum muscle and the psoas muscle with ultrasound. The pressure between the fascia and the pressure line added to the catheter tip will be measured.
Interventions
DEVICEinter-fascial pressure
The pressure between the fascia and the pressure line added to the catheter tip will be measured.
Sponsors
Bursa Yuksek Ihtisas Training and Research Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Intervention model description
prospective, cohort
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Patients who were in the American Society of Anesthesiologists (ASA) I-III class • Underwent laparoscopic cholecystectomy
Exclusion criteria
* Previous history of preoperative opioid use, * Allergy to local anesthetics, * The presence of any systemic infection, * Uncontrolled arterial hypertension, * Uncontrolled diabetes mellitus * Presence of infection in the block area,
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Interfascial Pressure (mm/hg) | 24 hours. | İnterfascial pressure will be measured the postoperative 24. hours through catheter. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| sensory block level | peroperative 3 hours | After the application, the sensory block level at the 30 minutes after the block application and 30 minutes after the operation will be determined by cold test. |
| Visual Analog Scale | Postoperative 24 hours | Visual Analog Scale was used for pain.Pain intensity was measured using 0-10 cm visual analogue scale (VAS). (0=no pain, 10=intolerable pain) |
| analgesic use | Postoperative 24 hours | analgesic use |
Countries
Turkey (Türkiye)
Outcome results
None listed