NCT03771339

Comparison of Quadratus Lumborum Block and Epidural Analgesia Following Kidney Transplant Surgery

Comparison of Ultrasound-Guided Quadratus Lumborum Block and Epidural Analgesia for Postoperative Pain Management After Renal Transplantation

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 50 (actual)
• Sponsor: Indonesia University · Academic / Other
• Sex: All
• Age: 18 Years – 80 Years
• Healthy volunteers: Accepted

Summary

Quadratus lumborum block as an alternative for postoperative analgesia compared with epidural block

Detailed description

Epidural analgesia is the main choice of analgesia following kidney transplant surgery. However, continuous epidural technique had some concerning side effects such as hemodynamic instabilities, urine retention, motor/sensory disturbances/weakness, and mobilisation comfort, it could also cause hypotension which could affect graft success. Quadratus lumborum (QL) block had lesser side effects thus could be an option for postoperative analgesia, however there are no study showing the safety and success rate of QL block techniques for patients who underwent kidney transplant surgery.

Conditions

• Postoperative Pain

Interventions

Type	Name	Description
PROCEDURE	Continuous Epidural analgesia	Continuous Epidural catheter is inserted at the Thoracic 11-T12 level, using Ropivacaine 0.375% 3 mL bolus followed by Ropivacaine 0.2% with rate 6 mL/hour for 24 hours after laparoscopic nephrectomy
PROCEDURE	Bilateral Quadratus Lumborum block	Bilateral anterior Quadratus Lumborum block using Ropivacaine 0.375% 20 mL each injection as postoperative analgesia treatment for 24 hours

Timeline

• Start date: 2018-12-10
• Primary completion: 2020-01-31
• Completion: 2020-01-31
• First posted: 2018-12-11
• Last updated: 2020-10-28

Locations

1 site across 1 country: Indonesia