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220324

Comparative Study between Type II and Type III Ultrasound-guided Quadratus Lumborum Block for Anlgesia after Cesarean

Article

Last updated: 22 Jan 2023

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Tags

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Abstract

Background: Neuraxial anaesthesia (mainly spinal anaesthesia) is the anaesthetic technique of choice for elective cesarean delivery. Sufficient postoperative analgesia is an integral component of Enhanced Recovery After Surgery (ERAS) protocols; it supposes greater importance in women undergoing cesarean delivery and is rapidly gaining popularity.
Aim of the Work: This study investigates postoperative analgesic efficacy after cesarean section of two different approaches of quadratus lumborum block; posterior (QLB 2) and anterior (QLB 3) approaches compared to the conventional intravenous.
Patients and Methods: A prospective double-blinded randomised controlled clinical study in Al-Azhar university hospitals in Cairo on 102 patients aged 21 to 35 were scheduled for elective cesarean delivery under spinal anaesthesia without any other surgical intervention as tubal ligation or ovarian cyst removal after approval of the institutional ethical committee.
Results: Our study demonstrated a statistically significant difference between groups according to VAS S score at T0 to T24 with p-value (p < 0.05 S). In addition, the VAS S score was significantly lower among the QLB groups, either QLB2 or QLB3), compared to the No-QLB group, in the time from T2 to T24. The difference between QLB2 and QLB3 was statistically, at the time of T2, T4, T12, and T16, according to the VAS score
Conclusion: The present study showed that QLB has an essential role in treating postoperative pain after cesarean section.

DOI

10.21608/aimj.2022.104862.1647

Keywords

Ultrasound-guided, Quadratus Lumborum, Cesarean delivery

Authors

First Name

Ahmed

Last Name

megawer

MiddleName

salah

Affiliation

faculty of medicine Anaesthesia &amp;amp; Intensive Care Department

Email

ahmed.megawer20@gmail.com

City

Behira

Orcid

-

First Name

Abdallah

Last Name

El Sheikh

MiddleName

Mohamed Ahmed

Affiliation

Department Anesthesiology and Intensive Care,Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Email

abdullahelshekh@yahoo.com

City

Cairo

Orcid

-

First Name

Ahmed

Last Name

Elnaggar

MiddleName

Mossad Ahmed

Affiliation

Department Anesthesiology and Intensive Care, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Email

ahmedmossad2009@gmail.com

City

Cairo

Orcid

-

Volume

3

Article Issue

2

Related Issue

31833

Issue Date

2022-02-01

Receive Date

2021-11-09

Publish Date

2022-02-01

Page Start

22

Page End

27

Print ISSN

2682-3381

Online ISSN

2682-339X

Link

https://aimj.journals.ekb.eg/article_220324.html

Detail API

https://aimj.journals.ekb.eg/service?article_code=220324

Order

4

Type

Original Article

Type Code

710

Publication Type

Journal

Publication Title

Al-Azhar International Medical Journal

Publication Link

https://aimj.journals.ekb.eg/

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Details

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Article

Created At

22 Jan 2023