| Autor: |
Alaasar, Neveen Mahmoud, Ahmed Elattar, Hala Abdelsadek, Bennoor Ibrahim, AboAlnour Ramadan, Elshafei, Amr Shaaban |
| Zdroj: |
Zagazig University Medical Journal; Nov2024, Vol. 30 Issue 8, p4652-4667, 16p |
| Abstrakt: |
Background: Multimodal pain management program is needed to control severe pain after abdominal hysterectomy which is considered as one of the major abdominal surgeries. This study aimed to improve pain quality using ultrasound guided transversus abdominis plane block versus quadratus lumborum block in elective total abdominal hysterectomy under general anesthesia. Methods: This prospective, randomized controlled, doubleblinded trial was carried out in Zagazig University Hospitals, anesthesia, Intensive care and Pain management department. The participants were randomly allocated into three equal groups, each group consist of 21 patients. Group C served as the control group, where each patient received only general anesthesia. In Group Transversus abdominis plane (TAP), each patient was administered general anesthesia plus bilateral TAP block. Group Quadratus lumborum (QL) involved patients receiving general anesthesia along with a bilateral QL block. Results: The number of patients needed rescue analgesia was significantly lower in group QL compared to both groups (C&TAP). The time of first rescue analgesia (nalbuphine) was significantly early in group TAP compared to group QL. Performance time of block was shorter in TAP group compared to QL group. Visual analogue scale (VAS) score at 30 min ,2 ,4 and 8 hours post-operative was significantly lower in (TAP&QL) groups compared to group C. Conclusions: This study demonstrated that both transversus abdominis plane block and quadratus lumborum block are effective and safe for enhancing postoperative analgesia in patients undergoing total abdominal hysterectomy, with superiority of quadratus lumborum block affirming it effectiveness in pain management. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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