Ultrasound-guided lateral versus posterior Quadratus Lumborum Block for postoperative pain after laparoscopic cholecystectomy: a randomized controlled trial
Korgün Ökmen1, Burcu Metin Ökmen2, Erkan Sayan1
1Clinic of Anesthesiology and Reanimation, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey
2Clinic of Physical Medicine and Rehabilitation, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey
Abstract
Objective: The aim of the present study was to investigate the effect of ultrasound-guided bilateral posterior quadratus lumborum block (QLB) and lateral QLB on postoperative pain scores after laparoscopic cholecystectomy.
Material and Methods: In this prospective, randomized, single-blind study; 60 patients with elective laparoscopic cholecystectomy operations were randomized into two groups as group P (n= 30): Posterior Quadratus Lumborum Block + IV patient-controlled analgesia (PCA) tramadol and group L (n= 30): Lateral Quadratus Lumborum Block + IV PCA tramadol. Primary outcome measures included the amount of total consumption (24 hours) of tramadol. Secondary outcome measures; Visual Analog Scala (VAS) scores at rest and on movement (postoperative 30th minute, 2nd, 6th, 12th, and 24th hours) were recorded. Adverse effects (nausea and vomiting), additional analgesic requirement, and intraoperative opioid requirement were recorded.
Results: Postoperative total consumption amounts of tramadol and VAS scores (rest and on movement) were compared, and there was no statistically significant difference between the two groups (p> 0.05). There was no statistically significant difference in adverse effects (nausea and vomiting), additional analgesic requirement, and intraoperative opioid requirement between the two groups (p> 0.05).
Conclusion: Similar postoperative tramadol consumption values and VAS scores were determined in both lateral QLB and posterior QLB block applications in the results of our study.
Keywords: Cholecystectomy, quadratus lumborum block, postoperative pain, laparoscopy, ultrasound
Cite this article as: Ökmen K, Metin Ökmen B, Sayan E. Ultrasound-guided lateral versus posterior Quadratus Lumborum Block for postoperative pain after laparoscopic cholecystectomy: a randomized controlled trial. Turk J Surg 2019; 35 (1): 23-29
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
Externally peer-reviewed.
Consept - K.Ö., B.M.Ö., E.S.; Design - K.Ö., B.M.Ö., E.S.; Supervision - K.Ö., B.M.Ö., E.S.; Resource - K.Ö., B.M.Ö.; Materials - K.Ö., E.S.; Data Collection and/or Processing - K.Ö., B.M.Ö., E.S.; Analysis and Interpretation - K.Ö., B.M.Ö., E.S.; Literature Search - K.Ö., B.M.Ö.; Writing Manuscript - K.Ö., B.M.Ö., E.S.; Critical Reviews - K.Ö., B.M.Ö., E.S.
The authors have no conflicts of interest to declare.
The authors declared that this study has received no financial support.