Laparoscopic prostatectomy (LP) is characterized by substantial tissue trauma, despite its minimally -invasive approach. Although postoperative pain intensity is lower when compared to open procedures, the use of opioids is common. Retrospective review of available LP cases revealed that although analgesic demand varied, nearly all of our LP patients required opioids postoperatively. Bilateral Quadratus Lumborum Block (QLB), being one of relatively new features of regional anesthesia, offers good analgesia of abdominal wall, with the potential for control of visceral pain. This study was established to evaluate its effectiveness in alleviating pain after radical prostatectomy in a double - blind, placebo - controlled manner.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
QUADRUPLE
Enrollment
50
Bilateral, ultrasound - guided Quadratus Lumborum Block
30 milliliters of 0.375% Ropivacaine used for Quadratus Lumborum Block
30 milliliters of 0.9% NaCl used for Quadratus Lumborum Block
Centre of Postgraduate Medical Education,Department of Anesthesia and Intensive Care
Warsaw, Poland
Opioid consumption following prostatectomy
Oxycodone consumption with Patient-Controlled Analgesia pump
Time frame: 24 hours
Pain score
Pain scores assessed with Numeric Rating Scale (NRS).In this scale pain intensity is expressed using one of the numbers 0 - 10, 0 being no pain and 10 worst pain imaginable.
Time frame: 24 hours
Time to first dose of opioid
Time in minutes from emergence from anesthesia to the first request for opioid
Time frame: 24 hours
Opioids - related complications
The occurence of symptoms and conditions related to the use of opioids, like nausea, ileus, itching
Time frame: 24 hours
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