TQL_PACU: Effect of the Transmuscular Quadratus Lumborum Block on Duration of Stay in Recovery
Study Details
Study Description
Brief Summary
The study will review data collected in 5 previously completed randomised controlled trials with a new primary outcome: to assess whether administration of the transmuscular quadratus lumborum block has an impact on the time an individual patient stays in the postanaesthesia care unit and how much opioid is consumed during this specified time.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Hemicolectomy, Active treatment 2x30mL 0.375% Ropivacaine administered by way of transmuscular quadratus lumborum block |
Drug: Ropivacaine injection
Transmuscular quadratus lumborum block - active
Other Names:
|
Hemicolectomy, Placebo treatment 2x30mL isotonic saline administered by way of transmuscular quadratus lumborum block |
|
Nephrectomy, Active treatment 2x30mL 0.375% Ropivacaine administered by way of transmuscular quadratus lumborum block |
Drug: Ropivacaine injection
Transmuscular quadratus lumborum block - active
Other Names:
|
Nephrectomy, Placebo treatment 2x30mL isotonic saline administered by way of transmuscular quadratus lumborum block |
|
Percutaneous nephrolithotomy, Active treatment 1x30mL 0.75% Ropivacaine administered by way of transmuscular quadratus lumborum block |
Drug: Ropivacaine injection
Transmuscular quadratus lumborum block - active
Other Names:
|
Percutaneous nephrolithotomy, Placebo treatment 1x30mL isotonic saline administered by way of transmuscular quadratus lumborum block |
|
Hysterectomy, Active treatment 2x30mL 0.375% Ropivacaine administered by way of transmuscular quadratus lumborum block |
Drug: Ropivacaine injection
Transmuscular quadratus lumborum block - active
Other Names:
|
Hysterectomy, Placebo treatment 2x30mL isotonic saline administered by way of transmuscular quadratus lumborum block |
|
Elective Caesarean section, Active treatment 2x30mL 0.375% Ropivacaine administered by way of transmuscular quadratus lumborum block |
Drug: Ropivacaine injection
Transmuscular quadratus lumborum block - active
Other Names:
|
Elective Caesarean section, Placebo treatment 2x30mL isotonic saline administered by way of transmuscular quadratus lumborum block |
Outcome Measures
Primary Outcome Measures
- Duration of recovery [0-300 minutes]
Minutes from arrival in PACU to completed recovery (arrival until ready for departure)
Secondary Outcome Measures
- Total time spent in recovery [0-300 minutes]
Minutes from arrival in PACU to actual departure time (arrival until actual departure)
- Duration of stay at PACU after completed recovery [0-300 minutes]
Minutes from completed recovery to actual departure from PACU
- Total opioid consumption in PACU [0-300 minutes]
Total amount of opioid administered, converted to Oral Morphine Equivalents
- Highest pain score in PACU [0-300 minutes]
Highest reported Numeric Rating Scale of pain during stay in recovery
Eligibility Criteria
Criteria
Inclusion Criteria:
- Elective Surgery
Exclusion Criteria:
-
Inability to cooperate
-
Allergy to local anaesthetics or opioids
-
Inability to understand Danish
-
Regular intake of opioids
-
Local infection at site of injection
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Zealand University Hospital | Roskilde | Denmark | 4000 |
Sponsors and Collaborators
- Zealand University Hospital
Investigators
- Study Director: Jens Børglum Neimann, MD, PhD, Associate Professor, Zealand University Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
- Dam M, Hansen C, Poulsen TD, Azawi NH, Laier GH, Wolmarans M, Chan V, Bendtsen TF, Børglum J. Transmuscular quadratus lumborum block reduces opioid consumption and prolongs time to first opioid demand after laparoscopic nephrectomy. Reg Anesth Pain Med. 2021 Jan;46(1):18-24. doi: 10.1136/rapm-2020-101745. Epub 2020 Oct 26.
- Hansen CK, Dam M, Steingrimsdottir GE, Laier GH, Lebech M, Poulsen TD, Chan VWS, Wolmarans M, Bendtsen TF, Børglum J. Ultrasound-guided transmuscular quadratus lumborum block for elective cesarean section significantly reduces postoperative opioid consumption and prolongs time to first opioid request: a double-blind randomized trial. Reg Anesth Pain Med. 2019 Jul 14. pii: rapm-2019-100540. doi: 10.1136/rapm-2019-100540. [Epub ahead of print]
- SOPRE-001