To evaluate the effect of quadratus lumborum block on the tramadol sparing effect in patients undergoing open inguinal hernia surgery : A randomised controlled trial
Copyright: © 2020 Indian Journal of Anaesthesia..
BACKGROUND AND AIMS: An ultrasound-guided quadratus lumborum (QL) block provides both somatic and visceral analgesia in abdominal surgeries. We aimed to evaluate the postoperative tramadol sparing effect of single-shot anterior QL block in inguinal hernia surgery patients.
METHODS: This prospective, randomised controlled trial was conducted in a single tertiary care centre over a period of 1 year. A total of 50 patients, American Society of Anaesthesiologists (ASA) physical status I-II of both sexes aged 18-80 years with body mass index (BMI) ≥20 to ≤35 kg/m2 undergoing uncomplicated unilateral inguinal hernia surgery under spinal anaesthesia (SA) were randomly allocated to either of the two groups. The block group (n = 25) received single-shot anterior QL block with 20 ml of 0.5% ropivacaine and the control group (n = 25) received no block. Postoperatively, patients received intravenous (IV) paracetamol 1g every 6 h and tramadol patient-controlled analgesia up to 24 h. Primary outcome was total tramadol consumption at 24 h postoperatively.
RESULTS: The total tramadol consumption mean ± SD [95% CI (range)] at 24 h in the block group was 84.00 ± 37.86 [68.37-99.63 (20-160)] mg versus 93.60 ± 34.99 [79.16-108.04 (20-160)] mg in control group, (p value = 0.36). Postoperative VAS score, haemodynamics, and patient satisfaction score were similar in both the groups. No adverse events were reported.
CONCLUSION: A single-shot anterior QL block did not establish a postoperative tramadol-sparing effect at 24 h as compared to no block in patients undergoing inguinal hernia surgery under SA.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:64 |
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| Enthalten in: |
Indian journal of anaesthesia - 64(2020), Suppl 3 vom: 15. Aug., Seite S198-S204 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Ahuja, Vanita [VerfasserIn] |
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| Links: |
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| Themen: |
Acute postoperative pain |
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| Anmerkungen: |
Date Revised 18.04.2022 published: Print-Electronic Citation Status PubMed-not-MEDLINE |
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| doi: |
10.4103/ija.IJA_545_20 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM317303759 |
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| 100 | 1 | |a Ahuja, Vanita |e verfasserin |4 aut | |
| 245 | 1 | 3 | |a To evaluate the effect of quadratus lumborum block on the tramadol sparing effect in patients undergoing open inguinal hernia surgery |b A randomised controlled trial |
| 264 | 1 | |c 2020 | |
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| 500 | |a Date Revised 18.04.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a Copyright: © 2020 Indian Journal of Anaesthesia. | ||
| 520 | |a BACKGROUND AND AIMS: An ultrasound-guided quadratus lumborum (QL) block provides both somatic and visceral analgesia in abdominal surgeries. We aimed to evaluate the postoperative tramadol sparing effect of single-shot anterior QL block in inguinal hernia surgery patients | ||
| 520 | |a METHODS: This prospective, randomised controlled trial was conducted in a single tertiary care centre over a period of 1 year. A total of 50 patients, American Society of Anaesthesiologists (ASA) physical status I-II of both sexes aged 18-80 years with body mass index (BMI) ≥20 to ≤35 kg/m2 undergoing uncomplicated unilateral inguinal hernia surgery under spinal anaesthesia (SA) were randomly allocated to either of the two groups. The block group (n = 25) received single-shot anterior QL block with 20 ml of 0.5% ropivacaine and the control group (n = 25) received no block. Postoperatively, patients received intravenous (IV) paracetamol 1g every 6 h and tramadol patient-controlled analgesia up to 24 h. Primary outcome was total tramadol consumption at 24 h postoperatively | ||
| 520 | |a RESULTS: The total tramadol consumption mean ± SD [95% CI (range)] at 24 h in the block group was 84.00 ± 37.86 [68.37-99.63 (20-160)] mg versus 93.60 ± 34.99 [79.16-108.04 (20-160)] mg in control group, (p value = 0.36). Postoperative VAS score, haemodynamics, and patient satisfaction score were similar in both the groups. No adverse events were reported | ||
| 520 | |a CONCLUSION: A single-shot anterior QL block did not establish a postoperative tramadol-sparing effect at 24 h as compared to no block in patients undergoing inguinal hernia surgery under SA | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Acute postoperative pain | |
| 650 | 4 | |a inguinal hernia mesh | |
| 650 | 4 | |a quadratus lumborum block | |
| 650 | 4 | |a ropivacaine | |
| 650 | 4 | |a spinal anesthesia | |
| 650 | 4 | |a tramadol | |
| 700 | 1 | |a Thapa, Deepak |e verfasserin |4 aut | |
| 700 | 1 | |a Nandi, Souvik |e verfasserin |4 aut | |
| 700 | 1 | |a Gombar, Satinder |e verfasserin |4 aut | |
| 700 | 1 | |a Dalal, Ashwani |e verfasserin |4 aut | |
| 700 | 1 | |a Bansiwal, Rajesh Kumar |e verfasserin |4 aut | |
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| 773 | 1 | 8 | |g volume:64 |g year:2020 |g number:Suppl 3 |g day:15 |g month:08 |g pages:S198-S204 |
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