Clinical trial · Interventional
Quadratus Lumborum Block for Percutaneous Nephrostomy
Quadratus Lumborum Block Versus Local Anesthetic Infiltration Combined With Monitored Anesthesia Care for Percutaneous Nephrostomy
NCT02121951CI-TRIAL-00032441QLBwithdrawnPhase 4ClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Percutaneous nephrostomy (PCN) is one of the interventions in the radiology department in which pain control is necessary. Quadratus Lumborum (QL) block will be tried to limit the use of systemic analgesics and its accompanying untoward effects in those frail patients requiring PCN that is performed in the prone position.
Conditions
Conditions (4)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Adverse Anesthesia Outcome | — | UNRESOLVED | — |
| Nephrostomy; Complications | — | UNRESOLVED | — |
| Regional Anesthesia Morbidity | — | UNRESOLVED | — |
| Upper Urinary Tract Dilatation and Obstruction | — | UNRESOLVED | — |
Interventions
Interventions (3)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Local Anesthetic infiltration | Procedure | — | UNRESOLVED |
| MAC | Drug | — | UNRESOLVED |
| Quadratus Lumborum block | Procedure | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- ACTIVE_COMPARATOR
- label
- Local Anesthetic infiltration and MAC
- description
- * Local Anesthetic infiltration with 1% lignocaine * MAC with IV Midazolam Img\\ml and Fentanyl 10 mic\\ml
- interventionNames
- Procedure: Local Anesthetic infiltration
- Drug: MAC
- type
- EXPERIMENTAL
- label
- Quadratus Lumborum block and MAC
- description
- * QL block with 0.25% levobupivacaine (Chirocaine, Abbott, Ireland) and 1% lignocaine * MAC with IV Midazolam Img\\ml and Fentanyl 10 mic\\ml
- interventionNames
- Procedure: Quadratus Lumborum block
- Drug: MAC
Primary outcomes (1)
- measure
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
- Maximum age
- 80 Years
Show eligibility criteria text
Inclusion Criteria: 1. ASA grade III and IV patients, 2. Ureteral obstruction due to malignancy or secondary to urinary diversion after cystectomy Exclusion Criteria: 1. Bleeding diathesis; INR more than than 1.5 and platelet count less than 100,000/mm3. 2. Untreated urinary tract infection; 3. Pre-operative haemoglobin \<10 gm/dl, 4. Severely co morbid patients 5. Non-dilated renal collecting system 6. Patient refusal to consent for the procedure.
References
Publications (2)
- RESULTKadam VR. Ultrasound-guided quadratus lumborum block as a postoperative analgesic technique for laparotomy. J Anaesthesiol Clin Pharmacol. 2013 Oct;29(4):550-2. doi: 10.4103/0970-9185.119148. PMID 24249997
- RESULTIronfield CM, Barrington MJ, Kluger R, Sites B. Are patients satisfied after peripheral nerve blockade? Results from an International Registry of Regional Anesthesia. Reg Anesth Pain Med. 2014 Jan-Feb;39(1):48-55. doi: 10.1097/AAP.0000000000000038. PMID 24310051