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Effect of Bilateral Ultrasound-Guided Quadratus Lumborum Block versus Lumbar Epidural Block on Postoperative Analgesia following Major Lower Abdominal Cancer Surgery

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Open Journal of Anesthesiology 2021年第12期11卷 335-346页

作者： Moaaz Mohamed Tohamy Samy Abdelrahman Amr Ashraf Amin Mohammed Ahmad Mohamad Abd El-Rahman basma rezk farouk Mohamed Galal Mostafa El-Naggar Mahmoud Mostafa Mohammed Montaser A. Mohamed Department of Anesthesia Intensive Care and Pain Management South Egypt Cancer Institute Assiut University Assiut Egypt Department of Biostatistics and Cancer Epidemiology South Egypt Cancer Institute Assiut University Assiut Egypt Department of Clinical Pathology South Egypt Cancer Institute Assiut University Assiut Egypt Department of Surgical Oncology South Egypt Cancer Institute Assiut University Assiut Egypt

Background: Poor postoperative pain control leads to longer postoperative care, longer hospital stay and decreased patient overall satisfaction. Aim: To compare the efficacy and safety of bilateral ultrasound-guided quadratus lumborum block versus lumbar epidural block on the management of postoperative pain following major lower abdominal cancer surgery. Methods: The study was a double-blinded, and randomized study, conducted in South Egypt Cancer Institute, Assiut University, Egypt. It included cancer patients scheduled for major lower abdominal cancer surgery in the period from 2019 to 2020. They were divided into two groups: Group Ι received pre-emptive ultrasound-guided Quadratus Lumborum Block (QLB) with 25 mL of 0.25% bupivacaine on each side of the abdominal wall before induction of General Anesthesia (GA), and Group II received pre-emptive lumbar epidural block with 15 mL of 0.25% bupivacaine before induction of GA. VAS score, and time of the first analgesic request and postoperative total analgesic consumption were evaluated. Results: Sixty patients were included in our study. VAS score at rest was comparable between both studied groups in the first 6 h. At 8 and 10 h, Group II had a significantly higher VAS score at rest (P Limitation:

关键词： Quadratus Lumborum Block Lumbar Epidural Block Postoperative Pain Abdominal Cancer Surgery

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