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The block has been shown to be the result of abdominal analgesia as a result of application between the quadratus lumborum (QL) muscle and the leaves in the thoracolumbar fascia.
In this block, local anesthetic drugs are administered between the quadratus lumborum (QL) muscle and the anterior leaf in the thoracolumbar fascia.
In this way, it has been reported that it provides a good analgesia as it relieves somatic pain better in upper and lower abdominal surgeries.
The mechanism of QLB analgesic contains many theories. This study includes the research relationship between the effect of fascial pressure and the success of the association block. We will use the ultrasound guided anterior Quadratus Lumborum Block. A peripheral nerve block catheter will be placed between the quadratus lumborum muscle and the psoas muscle with ultrasound.The pressure between the fascia and the pressure line added to the catheter tip will be measured.A peripheral nerve block catheter will be placed between the quadratus lumborum muscle and the psoas muscle with ultrasound. The pressure between the fascia and the pressure line added to the catheter tip will be measured.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Quadratus Lumborum block | Experimental | We will use the ultrasound guided anterior Quadratus Lumborum Block.A peripheral nerve block catheter will be placed between the quadratus lumborum muscle and the psoas muscle with ultrasound |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| inter-fascial pressure | Device | The pressure between the fascia and the pressure line added to the catheter tip will be measured. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Interfascial Pressure (mm/hg) | İnterfascial pressure will be measured the postoperative 24. hours through catheter. | 24 hours. |
| Measure | Description | Time Frame |
|---|---|---|
| sensory block level | After the application, the sensory block level at the 30 minutes after the block application and 30 minutes after the operation will be determined by cold test. | peroperative 3 hours |
| Visual Analog Scale |
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Inclusion Criteria:
Patients who were in the American Society of Anesthesiologists (ASA) I-III class
• Underwent laparoscopic cholecystectomy
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Korgün Ökmen | Bursa Yuksek Ihtisas Training and Research Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital | Bursa | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D001733 | Bites and Stings |
| ID | Term |
|---|---|
| D011041 | Poisoning |
| D064419 | Chemically-Induced Disorders |
| D014947 | Wounds and Injuries |
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prospective, cohort
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Visual Analog Scale was used for pain.Pain intensity was measured using 0-10 cm visual analogue scale (VAS). (0=no pain, 10=intolerable pain)
| Postoperative 24 hours |
| analgesic use | analgesic use | Postoperative 24 hours |