Impact of Quadratus Lumborum Block on Recovery Profile After Ventral Hernia Repair

• Status: Not yet recruiting
• Trial end date: 2021-02-01
• Target enrollment: 48
• Participant gender: All

Summary

Ventral hernia repair may be associated with significant postoperative pain. Pain is typically managed with intravenous (IV) and oral medications that come with their own risks, such as nausea, constipation, sedation, respiratory depression, increased bleeding, and/or kidney or liver dysfunction. The quadratus lumborum peripheral nerve block has been shown to produce anesthesia of the anterior abdominal wall in the T7 to L1 distribution. This study aims to evaluate if the addition of the quadratus lumborum peripheral nerve block (QLB) can improve pain scores, decrease the need for IV and oral pain medications, and/or speed the patients' return to normal activity.

• Phase: N/A
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: University of Wisconsin, Madison

Criteria

Inclusion Criteria:

1. The subject is scheduled for elective laparoscopic ventral hernia repair;

2. The subject is ≥ 18 years and ≤ 80 years;

3. The patient agrees to receive a quadratus lumborum block

4. American Society of Anesthesiologists class 1-3.

Exclusion Criteria:

1. Subject is < 18 years of age or >80 years of age;

2. Subject is non-English speaking;

3. Subject is known or believed to be pregnant;

4. Subject is a prisoner;

5. Subject has impaired decision-making capacity per discretion of the Investigator;

6. Significant renal, cardiac or hepatic disease per discretion of the investigator;

7. American Society of Anesthesiologists class 4-5;

8. Known hypersensitivity and/or allergies to local anesthetics;

9. Chronic opioid use (daily or almost daily use of opioids for > 3 months at any point in their lives).

10. Repair of a recurrent ventral hernia

11. Repair of multiple ventral hernias

12. Unobtainable sonographic views

13. Lacking health insurance