Active bilateral ultrasound-guided transmuscular quadratus lumborum (TQL) block. 60 mL ropivacaine 0.375% single shot.
In both arms morphine will be administered IV as part of a patient controlled analgesia PCA)-pump regimen or additionally after contact with the nursing staff as it is the standard treatment.

Placebo bilateral ultrasound-guided transmuscular quadratus lumborum (TQL) block. 60 mL Saline single shot.
In both arms morphine will be administered IV as part of a patient controlled analgesia PCA)-pump regimen or additionally after contact with the nursing staff as it is the standard treatment.

Postoperative Pain

Ropivacaine

Saline

Zealand University Hospital, Department of Anaesthesiology

Transmuscular Quadratus Lumborum Block for Total Laparoscopic Hysterectomy.

Ultrasound-guided Transmuscular Quadratus Lumborum Block for Laparoscopic Hysterectomy. A Double Blind, Randomized, Placebo Controlled Trial.

How much cumulated opioid in oral morphine equivalents does the participant require/use.

Zealand University Hospital

Active bilateral ultrasound-guided transmuscular quadratus lumborum (TQL) block. 60 ml ropivacaine 0,375% single shot.
In both arms, the participants receive 1g Acetaminophen and 400 mg Ibuprofen / 100 mg Celebra. Morphine will be administered IV as part of a PCA-pump regimen or additionally after contact with the nursing staff as it is the standard treatment.

Placebo bilateral ultrasound-guided transmuscular quadratus lumborum (TQL) block. 60 ml saline single shot.
In both arms, the participants receive 1g Acetaminophen and 400 mg Ibuprofen / 100 mg Celebra. Morphine will be administered IV as part of a PCA-pump regimen or additionally after contact with the nursing staff as it is the standard treatment.

Only women scheduled for elective caesarean section are eligible.

30 ml ropivacaine 0,375% administered on each side as bilateral TQL blocks

30 ml saline 0,375% administered on each side as bilateral TQL blocks

Acetaminophen

Ibuprofen 400Mg Tablet / Celebra 100 Mg tablet

Transmuscular quadratus lumborum block, ultrasound-guided

ultrasound-guided nerve block

intravenously administered morphine via PCA-pump

Morphine

PCA-pump with IV-Morphine. 5 mg administered per bolus. Lock-out time and max. dosage standardized.

Patient-controlled analgesia

Ultrasound-guided Transmuscular Quadratus Lumborum Block for Elective Caesarean Section.

Ultrasound-guided Transmuscular Quadratus Lumborum Block for Elective Caesarean Section. A Double Blind, Randomized, Placebo Controlled Trial.

Data from PCA pump and patient medical record

NRS score will be recorded electronically on all morphine administrations, since all patients must enter their NRS score on the PCA pump display prior to administration of the PCA boluses.

0=Complete satisfaction 10=Unmanageable dissatisfaction

PONV. 0-3; 0=No nausea. 3=Unmanageable nausea

When does the new mother ambulate. I.e. Unassisted visit at the bathroom.

paraplegia/kräkning

Transmuscular Quadratus Lumborum Block for Total Laparoscopic Hysterectomy.

Ultrasound-guided Transmuscular Quadratus Lumborum Block for Elective Caesarean Section.

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