Abdominoplasty, Analgesia, Locoregional Anesthesia, Quadratus Lumborum Block
Conditions
Keywords
Quadratus lumborum block, Abdominoplasty, Analgesia, Locoregional Anesthesia
Brief summary
Abdominoplasty is a common surgical procedure in plastic surgery which causes postoperative pain and may delay patients' recovery. Surgery is potentially associated with a number of postoperative complications, whether cardiovascular, respiratory, infectious, thromboembolic, or digestive … Although they do not inevitably lead to a life-threatening prognosis, in many cases these complications delay post-operative recovery. Defined in the 1990s by Professor Henry Kehlet's Danish team, rapid rehabilitation after planned surgery is an approach to overall patient care that aims to rapidly restore previous physical and mental capacities and thus significantly reduce mortality and morbidity. Pain management is at the heart of this program and local anesthesia techniques are at the heart of early rehabilitation programs. Described for just over a decade, Quadratus Lumborum Block (QLB) have shown their effectiveness for analgesia in abdominal, or orthopedic, or obstetrical surgery. Considering the anatomical territory concerned, this locoregional anesthesia technique seems to be very interesting in abdominoplasty to allow early rehabilitation of the patient.
Interventions
OTHERQLB anesthesia
The QLB is a bilateral locoregional anesthesia technique, performed after surgery, under general anesthesia and in right and then left lateral decubitus.
OTHERIntravenous anesthesia without QLB
only intravenous anesthesia
Sponsors
Centre Hospitalier Universitaire, Amiens
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patients admitted for programmed dermo-lipectomy surgery with or without associated liposuction.
Exclusion criteria
* Pregnant woman * Patient under 18 years of age * Subject under guardianship or curators * Patient allergic to local anesthetics * Infection at the puncture sites * Patient on morphine analgesic over the long term * Patient on antidepressants for neuropathic pain.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Variation from baseline of morphine consumption | 24 hours after surgery |
Secondary
| Measure | Time frame |
|---|---|
| Variation from baseline of morphine consumption | 1 hour after surgery |
Countries
France
Outcome results
None listed