A Comparative Study between Ultrasound Guided Quadratus Lumborum Block Versus Ultrasound Guided Transversus Abdominis Plane Block in Laporoscopic Bariatric Surgery
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 70, Issue 12
Abstract
<strong>Background: </strong>ultrasound-guided quadratus Lumborumblock is performed as one of the perioperative pain management procedures for patients undergoing abdominal surgeries. <strong>Objective: </strong>the aim of this study was to compare the analgesic efficacy of ultrasound-guided trans-muscular quadratus lumborum block with transversus abdominis plane (TAP) block and intravenous opioid drugs during laparoscopic bariatric surgery and in the early postoperative period regarding pain relief, provision of comfort, early mobilization and improved respiratory functions. <strong>Patients and Methods: Setting and design: </strong>pilot exploratory study was conducted on 60 patients scheduled for elective laparoscopic bariatric surgeries. All patients received general anesthesia using IV fentanyl (1-2 μg/kg LBW). <strong>Group QLB (20 patients): </strong>received bilateral ultrasound-guided quadratus lumborum block after induction of general anesthesia using 0.2 ml/kg bupivacaine 0.125%. <strong>Group TAP (20 patients): </strong>received bilateral ultrasound-guided TAP block after induction of general anesthesia using 0.2 ml/kg bupivacaine 0.125%. <strong>Group GA (20 patients):</strong> received general anesthesia and then IV Morphine (0.1 mg/Kg LBW). <strong>Results: </strong>there was statistically significant difference between the three groups as regardsthe first call for rescue analgesia (morphine), total morphine consumption and pain scores; indicating that tansversus abdominis plane block was more effective than intravenous opioid drug analgesia, while quadratus lumborum block was more effective than tansversus abdominis plane block. <strong>Conclusion: </strong>this study concluded that quadratus lumborum block was the most effective technique in providing analgesia after laparoscopic bariatric surgery without associated hemodynamic instability in comparison to transversus abdominis plane block and intravenous opioid drugs.
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP583781
- DOI -
- Views 97
- Downloads 0
Assessment of Customer Satisfaction with the Clinical Laboratory Services Provided in King Abdullah Medical City, Makkah
<strong>Background: </strong>Patients and physicians are considered primary customers of laboratory services. Therefore, assessing customer satisfaction with laboratory services is an essential indicator in improving the...
The Relation between Serum Homocystiene Level and Recurrent Abortion in Egyptian Women
<strong>Background: </strong>Early pregnancy loss is defined as the termination of pregnancy before 20 weeks' gestation or with a fetal weight of <500 g. Of those that are recognized, 15-<em>20% </em>result in spontaneou...
The Effect of General and Spinal Anesthesia on Maternal Blood Loss in Elective Cesarean Section: a prospective Study
Background: This study aims to compare between general and spinal anesthesia regarding to the amount of maternal blood loss in cesarean section. Methods: This is a randomized controlled study conducted at Bab El Shaaria...
Meta-analysis on Subsyndromal Delirium in ICU
<strong>Background: </strong>Subsyndromal delirium (SSD) is a frequent condition and has been commonly described as an intermediate stage between delirium and normal cognition. However, the true frequency of SSD and its...
Magnesium in Intensive Care Unit: A Review
Aim of the work: there is an increased interest in the role of magnesium ions in clinical medicine, nutrition and physiology. Magnesium affects many cellular functions, including transport of potassium and calcium ions a...