Subcostal Approach to Anterior Quadratus Block Versus Thoracic Paravertebral Block for Laparoscopic Nephrectomy

Launched by ONDOKUZ MAYIS UNIVERSITY · Jan 13, 2022

Keywords

ClinConnect Summary

Laparoscopic partial or radical nephrectomy is associated with severe acute postoperative pain. Acute pain is mediated by inflammation, activation of spinal pathways and muscle spasm. Poor pain control may reduce patient satisfaction, delay postoperative ambulation and increase the incidence of pulmonary and cardiac complications.

Facial plane blocks, an important element of multimodal analgesia, can reduce the dosage of opioids, minimize side effects and improve the quality of postoperative recovery. Quadratus lumborum (QL) block is a relatively new technique. Subcostal anterior QL block ...

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Eligibility criteria

• Inclusion Criteria:
• • ASA I-II patients aged 18-70 y, scheduled for elective laparoscopic unilateral nephrectomy(partial/radical)
• Exclusion Criteria:
• • Age \<18y, \>70y
• • Obesity (BMI\> 30 kg / m2)
• • Pregnancy
• • Contraindication of regional anesthesia (coagulopathy, abnormal INR, thrombocytopenia, infection at the injection site)
• • Serious cardiac, hepatic, and cerebrovascular disease
• • Hypersensitivity to local anesthetics or a history of allergy
• • Patients with a history of opioid use longer than four weeks
• • Patients with psychiatric disorders or communication difficulties
• • Patients who do not want to participate
• • Asthma/chronic obstructive pulmonary disease, chronic pain syndrome, substance use disorder, or sleep apnea