Caudal Block Versus Quadratus Lumborum Plane Block in Lumbar Surgery

Launched by FAYOUM UNIVERSITY HOSPITAL · Apr 30, 2024

Keywords

ClinConnect Summary

This clinical trial is comparing two pain management techniques for adults undergoing lumbar spine surgery, which may be necessary for conditions like spondylolisthesis (a slip of one vertebra over another), facet joint hypertrophy (enlargement of the joints in the spine), and spinal canal stenosis (narrowing of the spinal canal). The two methods being studied are the ultrasound-guided caudal block and the quadratus lumborum plane block. Both techniques aim to help patients manage their postoperative pain more effectively and safely, potentially reducing the need for stronger pain medications like opioids.

To participate in this trial, you need to be an adult between 18 and 60 years old and scheduled for elective lumbar spine surgery. You'll also need to be in good overall health, as determined by the American Society of Anesthesiologists' health classification. If you have certain conditions like infections at the injection site or allergies to local anesthetics, you may not be eligible. If you decide to participate, you can expect careful monitoring and support throughout the study, and your experience with pain management will help contribute to better options for future patients.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Adult patients (18-60 years old), of either gender undergoing elective lumbar spine fixation surgery.
• • 2. Patients with American Society of Anesthesiologists (ASA) physical status I-II.
• Exclusion Criteria:
• • 1. Include patients who refuse.
• • 2. Patients with contraindications to regional anesthesia (eg, local infection at site of injection, coagulation abnormalities).
• • 3. Patients with spinal deformities or previous lumbar disc surgeries.
• • 4. Allergy to local anesthetics, mental disorders as well as drug abuse.
• • 5. BMI more than 35