Turkish Journal of Anaesthesiology & Reanimation
ORIGINAL ARTICLE

Ultrasound Guided Quadratus Lumborum Block Versus Transversus Abdominis Plane Block for Post-operative Analgesia in Patients Undergoing Total Abdominal Hysterectomy

1.

Department of Anesthesiology, All India Institute of Medical Sciences, Patna, India

2.

Department of Anesthesiology, SKMCH, Muzaffarpur, India

3.

Department of Anatomy, All India Institute of Medical Sciences, Patna, India

4.

Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Patna, India

Turk J Anaesthesiol Reanim 2021; 49: 357-364
DOI: 10.5152/TJAR.2021.985
Read: 371 Downloads: 81 Published: 22 October 2021

Objective: Quadratus lumborum (QL) block has emerged as a good option to be included in multimodal analgesia for abdominal surgeries. The aim of the present study was to compare the effectiveness of the QL block with the more established transversus abdominis plane (TAP) block along with a control group in terms of duration of analgesia as the primary outcome in total abdominal hysterectomy (TAH).

Methods: This randomised, double-blind, controlled trial was performed after ethics committee approval and written informed consent. Ultrasound-guided QL (group Q) and TAP (group T) blocks were administered on either side using 20mL of 0.25% bupivacaine after surgery under general anaesthesia, and group C did not receive any intervention.

Results: There was a significant difference in the duration of analgesia among the groups (P ¼ .00). It was significantly longer in group Q (mean ¼ 8.05 hours; 95% CI, 7.28, 8.81) compared to group T (mean ¼ 5.59 hours; 95% CI, 4.63, 6.45) and group C (mean ¼ 1.19 hours; 95% CI, 1.04, 1.34). The verbal rating score (P ¼ .001) and the cumulative analgesic consumption (P ¼ .00) were the least in group Q. There was no complication in any of the groups. However, the level of satisfaction in patients receiving QL blocks did not differ significantly than in those receiving TAP block.

Conclusion: It is highly recommended to include QL block as a part of multimodal analgesia in TAH as it is superior to TAP block in analgesic effect.

Cite this article as: Naaz S, Rajesh Kumar, Ozair E, Sahay N, Asghar A, Jha S, Akhil VP. Ultrasound Guided Quadratus Lumborum Block Versus Transversus Abdominis Plane Block for Post-operative Analgesia in Patients Undergoing Total Abdominal Hysterectomy. Turk J Anaesth Reanim. 2021;49(5):357-364.

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