Comparison of Quadratus Lumborum Block Types

• Status: Recruiting
• Trial end date: 2022-12-31
• Target enrollment: 0
• Participant gender: All

Summary

This study will compare the quality of analgesia and reduction of opioid use, between standard of care and two groups of local anesthetic blocks in different location in the quadratus lumborum plane, for postoperative pain control after lumbar spinal fusion and if it reduces opioid consumption.

• Phase: Phase 3
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Eman Nada
• Treatments: Lidocaine; Ropivacaine

Criteria

Inclusion Criteria:

• Adult Patients undergoing lumbar spinal fusion surgery.

• Patients from 40-80 years.

Exclusion Criteria:

• Recent drug abuse

• History of illicit drug use

• Chronic pain patients not related to the back lesions.

• Opioid tolerant patients.

• Patients with any lower extremity weaknesses or deficits.

• Patients with American Society of Anesthesiologists (ASA) classification more than 3.

• Coagulopathy.

• Infection near or in the area of the block.

• Pregnant patients.

• Uncooperative patients who refuse care which directly effects research participation or clinical care.

• If the surgeon reports performing non-typical fusion.

• The presence of intraoperative complications like nerve injury or abnormal results of neuromonitoring and extensive dissection.

• Vulnerable populations (prisoner, mental impairment / dementia, pregnant, etc.)

• Subjects on chronic buprenorphine therapy (either for opioid replacement or pain control)