COMPARISON OF ULTRASOUND-GUIDED: LUMBAR ERECTOR SPINAE PLANE BLOCK VERSUS QUADRATUS LUMBORUM BLOCK FOR POST-OPERATIVE ANALGESIA IN LOWER ABDOMINAL SURGERIES: RANDOMIZED CONTROLLED TRAIL
Main Article Content
Keywords
ESPB, QLB, Post-Operative Analgesia, VAS
Abstract
Background: Abdominal surgery is one of the most common surgical procedures and the associated postoperative pain is a common medical problem. The health and outcome of patients after abdominal surgeries can be detrimentally affected by the consequences of postoperative pain, such as respiratory complications, thromboembolism and increased duration of post-operative stay. Multimodal analgesic regimen is essential to control this postoperative pain and discomfort.
Aim: This study aimed to evaluate and compare the analgesic effect of ultrasound-guided erector spinae plane block (ESPB) vs ultrasound-guided quadratus lumborum Block (QLB) in patients having lower abdominal surgery at Suez Canal university hospitals.
Patients and Methods: This randomized, double blinded prospective study was conducted on patients undergoing lower abdominal surgeries at Suez Canal University Hospital. Seventy patients were allocated into two equal groups, group I received ultrasound- guided erector spinae plane block with 20 ml of bupivacaine 0.25% and group II received ultrasound- guided quadratus lumborum block with 20 ml of bupivacaine 0.25%. Each participant was subjected to clinical evaluation including medical history, physical examination and essential laboratory investigations.
Results: Our results showed that there was no statistically significant difference between the two groups regarding the total morphine consumption during the first 24 hours. As regards to time of the 1st request of analgesia, the results showed that there was no statistically significant difference between the 2 groups, too. The results showed that there was no significant difference between the two groups regarding VAS postoperative at rest at 60 min 12, 24 hours postoperative. Also, there was no significant difference between the two groups regarding VAS postoperative at patient movement.
Conclusion:The effect of ultrasound guided QLB and ESPB in patients undergoing lower abdominal surgeries were found to be similar in regards to postoperative pain and opioid requirement. Ultrasound-guided lumbar erector spinae plane block has advantages in terms of greater technical simplicity and shorter time to complete the block. Quadratus lumborum block has the advantage of better and prolonged analgesia than ESPB, however, the difference was not significant. Both techniques may be thus considered as viable and effective techniques for post operative analgesia in lower abdominal surgeries.
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Eslam Attia Mohamed Attia
M.B.B.CH (2012), M.Sc. Anesthesiology (2018), Assistant Lecturer in the Department of Anesthesia and Intensive Care, Faculty of medicine, Suez Canal University.
Ezzat Mohamed El Taher
Professor of Anesthesia and Intensive care, Faculty of Medicine, Suez Canal University.
Mohamed Emad Eldin Abdel-Ghaffar
Professor of Anesthesia and Intensive care, Faculty of Medicine, Suez Canal University.
Galal Habib El Sayed
Lecturer of Anesthesia and Intensive care, Faculty of Medicine, Suez Canal University.
Ahmed Ahmed ellily
Associate Professor of Anesthesia and Intensive care, Faculty of Medicine, Suez Canal University.