A Novel Approach for Transmuscular Quadratus Lumborum Block
1 other identifier
interventional
4
1 country
1
Brief Summary
a novel approach for TQL (anterior Q.L) block aiming mainly for terminal branches of lumbar plexus. The technique is described as Para-Spinous Saggital Shift Q.L block, done at L4 transverse process level in saggital orientation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Nov 2018
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 6, 2018
CompletedStudy Start
First participant enrolled
November 6, 2018
CompletedFirst Posted
Study publicly available on registry
November 7, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 15, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
January 15, 2019
CompletedJanuary 17, 2019
January 1, 2019
2 months
November 6, 2018
January 16, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
peri-operative analgesia in hip Surgery
post-operative VAS score
one month
Study Arms (1)
TQL group
EXPERIMENTALtransmuscular quadratus lumborum block as an alternative to lumbar plexus block for peri-operative analgesia in hip Surgery
Interventions
transmuscular quadratus lumborum block as an alternative to lumbar plexus block for peri-operative analgesia in hip Surgery
Eligibility Criteria
You may qualify if:
- Orthopaedic patients, American Society of Anesthesiologists (ASA) physical status I-III, scheduled to undergo unilateral hip surgery.
You may not qualify if:
- History of neurological/neuromuscular, psychiatric disease, dementia preventing proper comprehension.
- Patients with Body Mass Index (BMI) \<18.5 or \>30 kg/m2.
- Coagulation disturbances (INR\>1.4, platelet count\<100 000).
- History of opioid dependence (opioid use within the last 4 weeks).
- History of allergies to study medications.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Alexandria Faculty of Medicine
Alexandria, 21131, Egypt
Related Publications (3)
Adhikary SD, Short AJ, El-Boghdadly K, Abdelmalak MJ, Chin KJ. Transmuscular quadratus lumborum versus lumbar plexus block for total hip arthroplasty: A retrospective propensity score matched cohort study. J Anaesthesiol Clin Pharmacol. 2018 Jul-Sep;34(3):372-378. doi: 10.4103/joacp.JOACP_335_17.
PMID: 30386022BACKGROUNDAdhikary SD, El-Boghdadly K, Nasralah Z, Sarwani N, Nixon AM, Chin KJ. A radiologic and anatomic assessment of injectate spread following transmuscular quadratus lumborum block in cadavers. Anaesthesia. 2017 Jan;72(1):73-79. doi: 10.1111/anae.13647. Epub 2016 Oct 12.
PMID: 27730633BACKGROUNDCarline L, McLeod GA, Lamb C. A cadaver study comparing spread of dye and nerve involvement after three different quadratus lumborum blocks. Br J Anaesth. 2016 Sep;117(3):387-94. doi: 10.1093/bja/aew224.
PMID: 27543534BACKGROUND
Study Officials
- STUDY CHAIR
Emad A Abdelmonem
Alexandria faculty of medicine
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- assistant lecturer of anaesthesiology
Study Record Dates
First Submitted
November 6, 2018
First Posted
November 7, 2018
Study Start
November 6, 2018
Primary Completion
January 15, 2019
Study Completion
January 15, 2019
Last Updated
January 17, 2019
Record last verified: 2019-01
Data Sharing
- IPD Sharing
- Will share