Comparison of Quadratus Lumborum Block Types

Description

This study will compare the quality of analgesia and reduction of opioid use, between standard of care and two groups of local anesthetic blocks in different location in the quadratus lumborum plane, for postoperative pain control after lumbar spinal fusion and if it reduces opioid consumption.

Conditions

Pain, Opioid Use, Lumbar Disc Herniation

Study Overview

Study Details

Study overview

This study will compare the quality of analgesia and reduction of opioid use, between standard of care and two groups of local anesthetic blocks in different location in the quadratus lumborum plane, for postoperative pain control after lumbar spinal fusion and if it reduces opioid consumption.

Comparison of Quadratus Lumborum Block With Medical Management for Pain Control After Lumbar Spine Fusion Surgery

Comparison of Quadratus Lumborum Block Types

Condition
Pain
Intervention / Treatment

-

Contacts and Locations

Worcester

UMASS Memorial Medical Center, Worcester, Massachusetts, United States, 01605

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Adult Patients undergoing lumbar spinal fusion surgery.
  • * Patients from 40-80 years.
  • * Recent drug abuse
  • * History of illicit drug use
  • * Chronic pain patients not related to the back lesions.
  • * Opioid tolerant patients.
  • * Patients with any lower extremity weaknesses or deficits.
  • * Patients with American Society of Anesthesiologists (ASA) classification more than 3.
  • * Coagulopathy.
  • * Infection near or in the area of the block.
  • * Pregnant patients.
  • * Uncooperative patients who refuse care which directly effects research participation or clinical care.
  • * If the surgeon reports performing non-typical fusion.
  • * The presence of intraoperative complications like nerve injury or abnormal results of neuromonitoring and extensive dissection.
  • * Vulnerable populations (prisoner, mental impairment / dementia, pregnant, etc.)
  • * Subjects on chronic buprenorphine therapy (either for opioid replacement or pain control)

Ages Eligible for Study

40 Years to 80 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Eman Nada,

Eman Nada, MD, PRINCIPAL_INVESTIGATOR, University of Massachusetts, Worcester

Study Record Dates

2022-12-31