Analgesic Effect of Ultrasound Guided Caudal Block Versus Quadratus Lumborum Plane Block in Lumbar Spine Surgery in Adult Patients: A Double Blinded Prospective Comparative Study

Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Postoperative pain is a common complication after lumbar spine surgery due to inherent tissue damage during surgical procedures. Many analgesic options have been explored. Opioid analgesics carry the risk of respiratory depression. Nonsteroidal anti-inflammatory drugs (NSAIDs) are popular and widely used as first-line treatment for acute pain following spinal surgery, but can provide inadequate analgesia. High doses of NSAIDs have also been linked to non-unions in spinal fusion surgery. Patient-controlled analgesia or epidural injection analgesia are usually used. One of US guided regional anesthesia methods is the ultrasound-guided caudal block that was first described by Klocke and colleagues in 2003. One of the more recent techniques that has been described recently is quadratus lumborum plane block(QLB),that is posterior abdominal wall fascial plane block first described by Blanco in 2007.In this study we will compare between analgesic effect of ultrasound guided caudal block to that of ultrasound guided quadratus lumborum plane block as well as safety of both modalities in adult patients undergoing lumbar spine fixation surgeries.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 60
Healthy Volunteers: f
View:

• Adult patients (18-60 years old), of either gender undergoing elective lumbar spine fixation surgery.

• Patients with American Society of Anesthesiologists (ASA) physical status I-II.

Locations
Other Locations
Egypt
Fayoum University hospital
RECRUITING
El Fayoum Qesm
Contact Information
Primary
Samar Ahmed
sar15@fayoum.edu.eg
01028384348
Backup
Alyaa Abdel Sattar, Lecturer
alyaaabdelsattar@gmail.com
01091169956
Time Frame
Start Date: 2024-03-01
Estimated Completion Date: 2024-09-15
Participants
Target number of participants: 111
Treatments
Active_comparator: Caudal block group
This group of patient receiving caudal block in prone position before the operation.
Active_comparator: Quadratus lumborum plane block
This group of patient receiving quadratus lumborum plane block in prone position before the operation.
No_intervention: controlled group
this group of patient will not receive any blocks, only undergoing operation under general anesthesia and receive only 1 g paracetamol 30 min before end of operation
Sponsors
Leads: Fayoum University Hospital

This content was sourced from clinicaltrials.gov