Effects of quadratus lumborum block regional anesthesia on postoperative pain after colorectal resection: a randomized controlled trial

Boulianne, Mélissa; Paquet, Pamela; Veilleux, Raymond; Drolet, Sébastien; Meunier, Alexandre; Frigault, Jonathan; Simonyan, David; Turgeon, Alexis F.

doi:10.1007/s00464-019-07184-0

Cited by 10 publications

(17 citation statements)

References 43 publications

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“…40,41 QLB preemptive analgesia can block part of visceral pain by blocking part of the sympathetic nerve, reduce incision pain by blocking nerve fiber impulse conduction, and inhibit the release of inflammatory factors by reducing or preventing stress response, so as to reduce inflammatory pain. 42 Postoperative recovery speed is closely associated with the extent of surgical trauma, postoperative analgesia, early postoperative ambulation, and postoperative intestinal function recovery. 43,44 Our results showed that these parameters in Group Q were significantly improved compared with those in Group C (P<0.01).…”

Section: Discussionmentioning

confidence: 99%

Effect of Ultrasound-Guided Quadratus Lumborum Block Preemptive Analgesia on Postoperative Recovery of Patients with Open Radical Colon Cancer Surgery: A Retrospective Study

Wang¹,

Hu²,

Feng³

et al. 2021

CMAR

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Purpose: To evaluate the effect of ultrasound-guided quadratus lumborum block (QLB) preemptive analgesia on recovery in colon cancer patients undergoing open radical surgery and provide reference for its clinical application. Methods: From July 2019 to June 2020, according to the anesthesia method, 56 patients who received open radical colon surgery were divided into two groups: Group Q (n=27), which received QLB combined general anesthesia, and Group C (n=29), which received general anesthesia only. Both groups were given self-controlled intravenous analgesia pump after surgery. The primary outcome is a series of parameters representing postoperative recovery. The secondary outcome was VAS scores and opioid consumption. Results: The first time of getting up, flatus, taking semi-liquid diet and the postoperative hospital stay in Group Q were significantly reduced (P<0.01). The rest and active VAS scores were significantly lower in Group Q (P<0.01). The opioids consumption was significantly decreased in Group Q (P<0.05). Conclusion:The application of ultrasound-guided QLB preemptive analgesia in open radical colon cancer surgery can significantly enhance the postoperative analgesia effect, reduce opioid consumption, and accelerate the postoperative recovery of the patients. Clinical Trial Registration Number:The Chinese Clinical Trial Registry (ChiCTR-2000034824).

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Section: Discussionmentioning

confidence: 99%

Effect of Ultrasound-Guided Quadratus Lumborum Block Preemptive Analgesia on Postoperative Recovery of Patients with Open Radical Colon Cancer Surgery: A Retrospective Study

Wang¹,

Hu²,

Feng³

et al. 2021

CMAR

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“…27,34,39,40 Thirty-one trials used a predetermined LA volume between 15 and 30 mL per injection. [12][13][14][15][16][17][18][21][22][23][24][25][26]28,29,[31][32][33][41][42][43][44][45][46][47][48][49][50][51][52][53] The dosage regimen or the type of LA was not stated in two of the abstracts. 19,20 With respect to LA type, 19 trials used ropivacaine (0.2-0.75%) 12,14,17,18,22,24,27,29,[31][32][33][34][39][40]…”

Section: Risk Of Biasmentioning

confidence: 99%

“…The Table 1 lists the types of surgeries. The included studies used QLB for the following surgical procedures: Cesarean delivery (14 studies), 13,15,24,27,30,[33][34][35]39,42,43,48,50,53 gynecological surgery (four studies), 12,44,47,49 abdominal general surgery (11 studies), 14,17,20,21,29,32,37,38,41,45,46 orthopedic surgery (six studies), 16,18,22,23,25,52 and urological procedures (seven studies). 19,26,28,31,36,40,51 Comparators All trials compared a specific QLB with either placebo or another analgesic technique.…”

Section: Risk Of Biasmentioning

confidence: 99%

“…Two trials directly compared different anatomic approaches of QLB. 45,53 The comparators used were placebo, 13,17,22,[29][30][31]33,34,36,37,39,40,46,48,50 no block, 18,19,23,24,28,43,47,49,51,52 other RA techniques (TAP block, 12,14,20,21,27,35,38,41,42,44 femoral nerve block, 25 fascia iliaca block, 16 erector spinae [ESP] block, 52 epidural analgesia, 26 and intrathecal morphine [ITM]), 15,39,50,53 and systemic analgesia techniques (lidocaine infusion 32 and paracetamol infusion 20 ).…”

Section: Risk Of Biasmentioning

confidence: 99%

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Quadratus lumborum block for postoperative analgesia: a systematic review and meta-analysis

Uppal

Retter

et al. 2020

Can J Anesth/J Can Anesth

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The goal of the present systematic review is to determine the efficacy of the quadratus lumborum block (QLB) in providing postoperative analgesia for abdominal wall and hip surgeries when compared with placebo or other analgesic techniques. Methods Electronic databases (Medline, Embase, Cochrane Central, and Scopus) were searched for keywords and controlled vocabulary terms related to QLB from their inception to November 2019. The included studies compared ultrasound-guided singleinjection QLB to placebo and other analgesic techniques in adult patients. Results Forty-two randomized-controlled trials provided the data for this systematic review. Eight studies were assessed as high risk of bias in at least one domain. The included studies had significant heterogeneity with regard to the type of surgery, comparator groups, and outcomes measured; therefore, a limited quantitative analysis was undertaken for the comparison of QLB vs no block or placebo in patients undergoing Cesarean delivery only. For Cesarean delivery, the QLB reduced the opioid use by

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“…En cirugía laparoscópica ginecológica ha demostrado disminuir el dolor postoperatorio en las primeras 24 horas [51], aunque recientemente Fujimoto et al, reportó que el uso de BCL no tiene diferencia en la calidad de recuperación versus analgesia sistémica [52]. Para cirugía laparoscopia colorrectal tampoco ha sido superior a placebo [53], ni al uso de infusión continua con lidocaína [54]. En cirugía urológica existe un beneficio en disminuir el dolor y uso de opioides en nefrectomía laparoscópica y nefrolitotomía percutánea [55], [56].…”

Section: Bloqueo Del Cuadrado Lumbarunclassified

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Layera¹,

Bravo²,

Aliste³

2020

Rev. chil. anest.

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Effects of quadratus lumborum block regional anesthesia on postoperative pain after colorectal resection: a randomized controlled trial

Cited by 10 publications

References 43 publications

Effect of Ultrasound-Guided Quadratus Lumborum Block Preemptive Analgesia on Postoperative Recovery of Patients with Open Radical Colon Cancer Surgery: A Retrospective Study

Effect of Ultrasound-Guided Quadratus Lumborum Block Preemptive Analgesia on Postoperative Recovery of Patients with Open Radical Colon Cancer Surgery: A Retrospective Study

Quadratus lumborum block for postoperative analgesia: a systematic review and meta-analysis

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