Ignite Creation Date:
2024-10-26 @ 3:41 PM
Last Modification Date:
2024-10-26 @ 3:41 PM
Study NCT ID:
NCT06618781
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-09-26
Brief Title:
Perioperative Effects of Lateral Quadratus Lumborum Block in Percutaneous Transhepatic Cholangiography
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Perioperative Effects of Lateral Quadratus Lumborum Block in Percutaneous Transhepatic Cholangiography Prospective Observational Study
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The frequency of non-operating room anesthesia ADA applications is increasing and has gained an important place in anesthesia practice Percutaneous transhepatic cholangiography PTC procedures applied in interventional radiology are also examples of ADA It is frequently applied for both diagnostic and therapeutic purposes in cases where obstruction is observed in the bile ducts for any reason Providing a balanced and comfortable anesthesia during PTC procedures reduces postoperative complications and increases patient and clinician satisfaction General anesthesia sedoanesthesia and regional anesthesia can be applied in PTCs Due to the perioperative complications and undesirable side effects of general anesthesia it is not the first choice in PTCs Sedoanesthesia and regional anesthesia are widely applied in PTCs Postoperative pain is the most important parameter affecting patient satisfaction in this surgery Inadequate treatment of postoperative pain can reduce the quality of life and cause chronic pain syndromes In order to effectively combat pain regional methods are frequently used in addition to intravenous analgesics For PTC patients Erector Spinae Plane Block Quadratus Lumborum Block QLB and Subcostal TAP block can be applied covering the T6-L1 dermatome Since the pain in PTC patients is of visceral and somatic origin the one with the highest analgesic efficacy is QLB 4 different techniques of QLB have been defined in the literature and these techniques are lateral posterior anterior transmuscular and intramuscular Local anesthetic spread is relatively low in the intramuscular technique while the risk of complications is high in the transmuscular technique However lateral and posterior techniques are not superior to each other and the experience of the clinician is effective in the selection of the technique The mechanism of action of QLB depends on ipsilateral paravertebral and epidural local anesthetic spread There are studies in the literature that QLB is used in trunk and abdominal surgeries provides effective analgesia and reduces the amount of opioid consumed Due to all these effects interest in QLB is increasing and its use is becoming widespread Lateral QLB application In the left lateral decubitus position the curvelinear 5-1 MHz USG probe is placed in the iliac crest and subcostal area at the level of T8-10 Then the probe is directed posteriorly and cranially to provide detailed visualization of the anterolateral surface of the vertebral body with the transverse process The probe is slightly tilted to identify the psoas major quadratus lumborum and erector spinae muscles The typical image of these 3 muscles forms a three-leaf clover pattern With the lateral approach at the point where the transverse abdominis muscle ends hydrodissection is performed with 2 cc physiological serum to the lateral side of the quadratus lumborum to confirm the location Then a total of 20 cc blocking fluid consisting of 14 cc of 05 bupivacaine and 6 cc of 2 lidocaine is injected into this area The blocking fluid is applied in divided doses of 5 cc with intermittent negative aspiration In our clinic multimodal anesthesiaanalgesia method is preferred in patients undergoing PTC procedure Peripheral nerve blocks for all patients who are suitable and accept are routinely used together with intravenous analgesic agents The applied block aims to reduce the amount of opioid consumed perioperatively faster postoperative recovery lower postoperative VAS scores lower postoperative analgesia consumption and earlier mobilization QLB is routinely applied in suitable patients undergoing PTC Patients who are subjected to sedoanesthesia and those who are subjected to QLB together with sedoanesthesia will be included in the study The anesthesiologist who provides the anesthesia management of the patients and the anesthesiologist who monitors the patient39s pain will be different individuals
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None