Post-operative analgesia efficacy using ultrasound-guided transmuscular quadratus lumborum block versus ultrasound-guided quadratus lumborum type II block
The Quadratus Lumborum (QL) Block is an ultrasound-guided technique described by Rafael Blanco in 2007. The nerves to the lower abdominal wall can be anesthetized by injecting local anesthetics between the quadratus lumborum muscle and latissimus dorsi muscle, which is called quadratus lumborum type II block. 〝 Transmuscular quadratus lumborum block demonstrates that injectate spreads over the posterior abdominal wall to the psoas major muscle and includes the upper branches of the lumbar plexus.〞described by Adhikary in 2016. However there are no published reports comparing the 2 techniques. In our study, compared of ultrasound-guided QL2-blocks with transmuscular quadratus lumborum block to investigate analgesic consumption, pain level, opioid related side effects and mobilization.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
180
injecting anesthetics to different local
Ultrasound guided nerve block
Tri-Service General Hospital
Taipei, Taiwan
RECRUITINGmorphine consumption
morphine consumption
Time frame: 48 hours
Severity of postoperative pain via visual analogue pain scale (VAS)
Total cumulative morphine dose in mg used in the first 48 hours after surgery
Time frame: 48 hours
Nausea or vomiting
Severity of nausea or vomiting in the first 48 hours after surgery. Severe :3 Moderate:2 Mild:1 None: 0
Time frame: 48 hours
time to mobilization
Time to mobile in the first 48 hours after surgery
Time frame: 48 hours
Skin itch
Severity of skin itch in the first 48 hours after surgery. Severe :3 Moderate:2 Mild:1 None: 0
Time frame: 48 hours
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