Inguinal hernia Postoperative pain Opioid-related side effects Quadratus lumborum block Regional anesthesia Morphine Pain management Enhanced recovery after surgery Randomized controlled trial
Conditions
Interventions
Patients randomized to this group will receive an ultrasound-guided posterior quadratus lumborum block with 30 ml of 0.25% bupivacaine administered prior to surgical incision for postoperative analges
Experimental Procedure/Surgery,No Intervention No treatment
Quadratus Lumborum Block Posterior approach,Standard analgesia Control group
Sponsors
Nakornping Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: Adults aged 18 to 70 years Scheduled for elective inguinal hernia repair ASA physical status 1-3 Provide written informed consent
Exclusion criteria
Exclusion criteria: Allergy to local anesthetics Coagulopathy or bleeding disorders Infection at the proposed block site Refusal of spinal anesthesia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total opioid consumption 24 hours postoperatively Cumulative morphine consumption within 24 hours after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative pain score 0, 1, 4, 8, 12, and 24 hours postoperatively Visual Analog Scale (VAS) at rest and during movement,Time to ambulation Postoperatively until ambulation Hours from end of surgery to first ambulation,Patient satisfaction At 24 hours postoperatively 5-point Likert scale questionnaire,Incidence of postoperative nausea and vomiting (PONV) Within 24 hours postoperatively Number of patients with nausea and/or vomiting requiring antiemetic therapy,Length of hospital stay At discharge Duration from end of surgery until hospital discharge (hours) | — |
Countries
Thailand
Contacts
Public ContactPapob Nuglor
Department of Anesthesiology, Nakornping Hospital
Outcome results
None listed