Surgeon Infiltration QL Block Comparison
| Status: | Not yet recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 18 - 75 |
| Updated: | 1/16/2019 |
| Start Date: | April 1, 2019 |
| End Date: | December 1, 2019 |
| Contact: | Hector Martinez-Wilson, MD |
| Email: | hector.martinez-wilson@duke.edu |
| Phone: | 617-513-3224 |
Intraoperative Surgical Wound Infiltration vs Quadratus Lumborum (QL) Block for Post-operative Pain Control After Nephrectomy in Living Donor Kidney Transplant Patients
The purpose of this study is to learn if using a Quadratus Lumborum (QL) plane injection
technique (also called a "nerve block") that numbs the nerves going to the abdominal area
improve pain control after surgery compared to administration of local anesthetic directly to
the surgical incision. The QL block technique uses a numbing solution (local anesthetics)
that is injected next to nerves located along muscles in the back to reduce pain. This block
will not affect movement in the leg and/or make the legs weak. Some institutions, including
Duke, use the QL block for patients having various abdominal surgeries, with the hope of
providing good pain relief combined with improved mobility after surgery.
technique (also called a "nerve block") that numbs the nerves going to the abdominal area
improve pain control after surgery compared to administration of local anesthetic directly to
the surgical incision. The QL block technique uses a numbing solution (local anesthetics)
that is injected next to nerves located along muscles in the back to reduce pain. This block
will not affect movement in the leg and/or make the legs weak. Some institutions, including
Duke, use the QL block for patients having various abdominal surgeries, with the hope of
providing good pain relief combined with improved mobility after surgery.
Inclusion Criteria:
- English speaking
- ASA 1-2 patients undergoing living donor nephrectomy
Exclusion Criteria:
- ASA 3 or 5
- Diagnosis of chronic pain
- Daily chronic opioid use (over 3 months of continuous opioid use)
- Inability to communicate pain scores or need for analgesia
- Infection at the site of block placement
- Pregnant women (as determined by standard of care day-of surgery urine bHCG)
- Intolerance/allergy to local anesthetics
- Weight <50 kg
- Suspected or known addiction to or abuse of illicit drug(s), prescription medicine(s),
or alcohol within the past 2 years
- Uncontrolled anxiety, schizophrenia, or other psychiatric disorder that, in the
opinion of the investigator, may interfere with study assessments or compliance
- Current or historical evidence of any clinically significant disease or condition
that, in the opinion of the investigator, may increase the risk of surgery or
complicate the subject's postoperative course
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