Ultrasound-guided Transmuscular Quadratus Lumborum Block for Elective Laparoscopic Hand-assisted Nephrectomy and Robot Assisted Partiel Nephrectomy

• Status: Completed
• Trial end date: 2019-06-24
• Target enrollment: 0
• Participant gender: All

Summary

Patients with kidney cancer often undergo hand-assisted laparoscopic nephrectomy or Robot assisted partiel nephrectomy. The investigators performed a one-year retrospective study. the sudy revealed that 67% of the patients needed substantial amounts of opioids for postoperative pain management (PPM) in recovery despite a multimodal analgesic regime. In a prospective pilot study including ten laparoscopic hand-assisted nephrectomy, with severe postoperative pain the investigators found that bilateral Ultrasound-guided (USG) transmuscular quadratus lumborum (TQL) block substantially reduced pain and opioid consumption. This study aims to evaluate the effect on PPM of a bilateral USG TQL block compared to placebo.

• Phase: Phase 4
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Zealand University Hospital
• Treatments: Ropivacaine

Criteria

Inclusion Criteria:

• over 18 years

• Kidney cancer

• Have received thorough information, orally and in written

• Signed the "Informed Consent" form on participation in the trial

Exclusion Criteria:

• Inability to cooperate

• Inability to speak and understand Danish both orally and written

• Allergy to local anaesthetics or opioids

• Daily intake of opioids

• Local infection at the site of injection or systemic infection

• Difficulty visualisation of muscular and fascial structures in ultrasound visualisation necessary to the block administration

• Known abuse of alcohol or medicine

• Pregnancy