The efficacy of ultrasound-guided anterior quadratus lumborum block for pain management following lumbar spinal surgery: A randomized controlled trial

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dc.authorid0000-0002-3245-6614
dc.authorid0000-0003-0467-7521
dc.authorid0000-0002-7597-1456
dc.authorid0000-0002-5715-8138
dc.contributor.authorAlver, Selçuk
dc.contributor.authorÇiftçi, Bahadır
dc.contributor.authorTahta, Ali Can
dc.contributor.authorÇetinkal, Ahmet
dc.contributor.authorGölboyu, Birzat Emre
dc.contributor.authorErdoğan, Cem
dc.contributor.authorEkinci, Mürsel
dc.date.accessioned2023-01-09T11:08:17Z
dc.date.available2023-01-09T11:08:17Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Ana Bilim Dalı
dc.description.abstractBackground: Quadratus lumborum block (QLB) is a fascial plane block. There is no randomized study on the efficacy of QLB for lumbar surgery. We evaluated the efficacy of QLB for postoperative pain management and patient satisfaction after lumbar disc herniation surgery (LDHS). Methods: Sixty patients with ASA score I-II planned for LDHS under general anesthesia were included. We allocated the patients into two groups: the QLB group (n = 30) or the control group (n = 30). QLB was performed with 30 ml 0.25% bupivacaine in the QLB group. Paracetamol 1 g IV 3 × 1 was ordered to the patients at the postoperative period. If the NRS score was ? 4, 1 mg/ kg tramadol IV was administered as rescue analgesia. Results: There was a reduction in the median static NRS at 0 h and 2 h with QLB compared to the control group (p < 0.05). There was no difference in the resting NRS at any other time point up to 24 h. The median dynamic NRS was significantly lower at 0, 2, 4, 8, and 16 h in the QLB group (p < 0.05). The need for rescue analgesia was significantly lower in the QLB group. The incidence of nausea was significantly higher in the control group. The postoperative patient satisfaction was significantly higher in the QLB group (p < 0.05). Conclusion: We found that the QLB is effective for pain control following LDHS.
dc.identifier.citationAlver, S., Çiftçi, B., Tahta, A. C., Çetinkal, A., Gölboyu, B. E., Erdoğan, C. ... Ekinci, M. (2022). The efficacy of ultrasound-guided anterior quadratus lumborum block for pain management following lumbar spinal surgery: A randomized controlled trial. BMC Anesthesiology, 22(1). https://dx.doi.org/10.1186/s12871-022-01943-8
dc.identifier.doi10.1186/s12871-022-01943-8
dc.identifier.issn1471-2253
dc.identifier.issue1
dc.identifier.pmid36536307
dc.identifier.scopus2-s2.0-85144279599
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://dx.doi.org/10.1186/s12871-022-01943-8
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10268
dc.identifier.volume22
dc.identifier.wos000900949400002en_US
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAlver, Selçuk
dc.institutionauthorBahadır, Çiftçi
dc.institutionauthorTahta, Ali Can
dc.institutionauthorÇetinkal, Ahmet
dc.institutionauthorErdoğan, Cem
dc.language.isoen
dc.publisherBioMed Central Ltd
dc.relation.ispartofBMC Anesthesiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectQuadratus Lumborum Block
dc.subjectLumbar Disc Herniation Surgery
dc.subjectPostoperative Pain
dc.subjectRegional Anesthesia
dc.titleThe efficacy of ultrasound-guided anterior quadratus lumborum block for pain management following lumbar spinal surgery: A randomized controlled trial
dc.typeArticle

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