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Effect of Subcostal Anterior quadratus lumborum block *** Subcostal Transversus Abdominis Plane block after Laparoscopic Radical Gastrectomy

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Current Medical Science 2021年第5期41卷 974-980页

作者： Bing-qing NIE Ling-xia NIU En YANG Shang-long YAO Lei YANG Department of Anesthesiology Union Hospital Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430022China

Objective:To evaluate the analgesic effect of ultrasound-guided subcostal anterior quadratus lumborum block(QLB)for laparoscopic radical gastrectomy ***:Patients(aged 20-65 years,ASA Ⅰ-Ⅱ,and weighing 40-75 kg)scheduled for elective laparoscopic radical gastrectomy were enrolled in the current *** patients were randomly assigned to two groups by computer-generated randomization codes:an ultrasound-guided oblique subcostal transversus abdominis plane block(TAPB)group(group T,n=30)or an ultrasound-guided subcostal anterior QLB group(group Q,n=30).In both groups,bilateral ultrasound-guided oblique subcostal TAPB and subcostal anterior QLB were performed before general anesthesia with 0.25% ropivacaine 0.5 mL/*** postoperative management,all patients received patient-controlled intravenous analgesia(PCIA)with nalbuphine and sufentanil after surgery,maintaining visual analogue scale(VAS)scoresblock related complications)were observed and *** primary outcome was the perioperative consumption of ***:Compared with group T,the intraoperative consumption of remifentanil,requirement for sufentanil and the frequency of PCIA were reduced in group ***,VAS scores at all points of observation were significantly lower in group Q than in group *** in group Q were also associated with shorter time to first out-of-bed activity and flatus,and shorter length of postoperative hospital stay than group T(Pblock related complications in both ***

关键词： ultrasound-guided transversus abdominis plane block quadratus lumborum block laparoscopic radical gastrectomy

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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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Combined lumbar muscle block and perioperative comprehensive patient-controlled intravenous analgesia with butorphanol in gynecological endoscopic surgery

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World Journal of Clinical Cases 2021年第34期9卷 10540-10548页

作者： Rong-Yu Zhu Si-Qu Xiang Dou-Ren Chen Department of Anesthesiology Central Hospital of Enshi Tujia and Miao Autonomous PrefectureEnshi 445000Hubei ProvinceChina Department of Pharmacy Huai’an Hospital Affiliated to Xuzhou Medical UniversityHuai’an 223002Jiangsu ProvinceChina

BACKGROUND Laparoscopic surgery has become a common surgical approach for the clinical treatment of intra-abdominal lesions in recent *** hypothesized that lumbar block with postoperative patient-controlled intravenous analgesia(PCIA)by butorphanol after gynecological surgery under general anesthesia would be more effective than PCIA by butorphanol *** To investigate the effect of lumbar block with PCIA by butorphanol after gynecological surgery under general *** This study assessed 120 women scheduled for laparoscopic surgery at our hospital between May 2017 and May *** were divided using a random number table into a research group(those who received quadratus lumborum block combined with PCIA analgesia by butorphanol)and a control group(those who received only PCIA analgesia by butorphanol),with 60 patients in each *** factors,visual analog scale scores for pain,serum inflammatory markers,PCIA compressions,Ramsay scores,and adverse events were compared between groups using a t-test,analysis of variance,orχ2 test,as *** There were no significant differences in demographic factors between groups(all P>0.05).The visual analog scale scores of the research group in the resting state 12 h and 24 h postoperatively were significantly lower than those of the control group(P0.05).The serum tumor necrosis factor-αlevels of the research group 24 h postoperatively were significantly lower than those of the control group(Pblock with PCIA with butorphanol after gynecological surgery under general anesthesia significantly improves the analgesic effect and reduces the degree of inflammation,ins

关键词： quadratus lumborum block Butorphanol Patient-controlled intravenous analgesia Analgesic effect

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