Quadratus Lumborum Block vs Intrathecal Morphine for Post-Cesarean Analgesia
NCT06612424 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 118
Last updated 2026-02-05
Summary
İn this study, planned to compare the post-operative analgesic efficacy of Intrathecal Morphine Administration and anterior Quadratus lumborum Block in elective cesarean section operations.
this study primary aim is; To compare the amount of total analgesic use in the first 24 hours in patients
Our secondary aims are: 1.) To compare and evaluate the first rescue analgesia requirement times 2.) To compare the NRS (Numering rating scale) values (resting and dynamic) at 2. 4. 8. 12 . 24. hours in the postoperative follow-up of the patients after anterior Quadratus lumborum block and Intrathecal morphine administration for postoperative analgesia after elective cesarean section operations under spinal anesthesia.
3.) Comparing the side effects such as postoperative nausea and vomiting
Conditions
- Postoperative Pain
Interventions
- DRUG
-
ANTERİOR QUADRATUS LUMBORUM BLOCK
In the Quadratus Lumborum block group, Participants will be placed in the lateral decubitus position. A convex ultrasound probe will be placed in sterile conditions along the midaxillary line, in the subcostal area above the iliac crest, to visualize the quadratus lumborum and psoas major muscles, as well as the L4 vertebral transverse process. Using an in-plane technique, a 22G, 100 mm peripheral block needle will be advanced anterior to the quadratus lumborum muscle and into the subfascial space between the quadratus lumborum and psoas major muscles. After confirming the correct location with hydrodissection, 20 mL of 0.25% bupivacaine will be injected slowly, observing the fascial displacement on ultrasound. The same procedure will be repeated on the contralateral side.
- DRUG
-
İNTRATECHAL MORPHİNE GROUP
In the intrathecal morphine group, 100 micrograms of morphine (0.1 mL) will be added to the 12 mg of intrathecally administered bupivacaine.
Sponsors & Collaborators
-
Gaziosmanpasa Research and Education Hospital
lead OTHER_GOV
Principal Investigators
-
Serpil Sehirlioglu · Gaziosmanpasa Research and Education Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 45 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2024-09-22
- Primary Completion
- 2025-03-28
- Completion
- 2025-04-01
Countries
- Turkey (Türkiye)
Study Locations
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