Comparing two methods for pain relief after abdominal surgery
Quadratus Lumborum Block Versus Erector Spinal Block - Comparison of the Effectiveness of the Analgesic Effect in Patients After Abdominal Surgery
This study is testing two different pain relief methods after abdominal surgery to see which one helps patients feel better and recover faster.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 1000 (estimated) |
| Ages | 18 Years to 90 Years |
| Sex | All |
| Sponsor | Jagiellonian University Academic / other |
| Locations | 1 site (Cracovia, Maloposkie) |
| Trial ID | NCT05446727 on ClinicalTrials.gov |
What this trial studies
This study compares the effectiveness of two local anesthetic techniques, the Quadratus Lumborum Block (QL block) and the Erector Spinal Block (ESP), for managing postoperative pain in patients undergoing abdominal surgery. The QL block targets pain from various sources, including incisional and visceral pain, while the ESP aims to block nerve structures in the paravertebral space. Patients will receive an injection of Ropivacaine, and their pain levels will be monitored to determine which method provides better analgesia. The study aims to improve recovery times and reduce the risk of chronic pain development.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 and over who are undergoing abdominal surgery and are expected to stay in the hospital overnight.
Not a fit: Patients with a BMI of 40 or greater, chronic pain syndromes, or those on long-term opioid therapy may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to more effective pain management strategies for patients after abdominal surgery.
How similar studies have performed: Previous studies have shown promising results with both QL and ESP blocks, indicating potential for success in this comparative approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients requiring abdomen surgery * Patients of age 18 and over * BMI \< 40 * Patients who are expected to stay in-hospital overnight after surgery Exclusion Criteria: * Patient refusal * Contraindications to paravertebral blocks: Infection at the site of needle insertion, empyema, allergy to local anesthetic drugs, and tumor occupying the thoracic paravertebral space, coagulopathy, bleeding disorder or therapeutic anticoagulation * Known allergy to local anesthetics * Inability to provide informed consent * Inability to use a PCA due to languate or comprehension barriers * BMI \>= 40 * Any patient on opioids for greater than or equal to 3 months duration prior to surgery * Patients with chronic pain syndromes
Where this trial is running
Cracovia, Maloposkie
- Jagiellonian University — Cracovia, Maloposkie, Poland (Recruiting)
Study contacts
- Study coordinator: Tomasz Składzień, phd md
- Email: t.skladzien@interia.pl
- Phone: 506602250
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.