Pain, Postoperative
Conditions
Keywords
Quadratus lumborum block, laparoscopic bariatric surgery
Brief summary
The purpose of this study was to determine the effectiveness of pre-emptive Quadratus lumborum block on intra, postoperative pain assessment and opioid requirements in laparoscopic bariatric procedures.
Interventions
Performance of quadratus lumborum block using ultrasound machine to relieve pain after bariatric surgery
Bupivacaine
normal saline
Sponsors
Study design
Eligibility
Inclusion criteria
Patients included in this study are * Both genders * Age between 18-50 years * Those undergoing laparoscopic bariatric surgery (as laparoscopic sleeve gastrectomy or gastric bypass). * BMI ≥ 35 Kg/m2 with comorbidity or ≥ 40 Kg/m2 without comorbidity.
Exclusion criteria
Patients excluded from this study were * those with obstructive sleep apnoea and/or Pickwickian syndrome. * if the laparoscopy procedure was converted to laparotomy. * patients suffering from known coagulation defects. * known hypersensitivity to bupivacaine, or those with contraindication to the use of NSAIDS. * Presence of sepsis at the site of injection.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain severity | 24 hours postoperatively | Assessment of analgesia intraoperatively and for the first 24 hours postoperatively using the numerical ratingscale (NRS)score .The scale ranges from 0 to 10 where 0 indicates no pain and 10 indicates the worst pain imaginable. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative hemodynamics | 24 hours postoperatively | Mean arterial pressure (MAP) in mmHg. |
| Postoperative analgesic needs | 24 hours postoperatively. | Time to first analgesic requirement in hours |
| Total dose of opioids | 24 hours postoperatively. | Total dose of opioids received in mg |
Countries
Egypt