Evaluation of analgesic effects and safety of quadratus lumborum block in patients undergoing laparoscopic surgery: a meta-analysis of randomized controlled trials

Zhang, Qianqian; Xu, Jing; Ou, Mingling; Lang, Bingchen

doi:10.23736/s0375-9393.21.15807-9

Cited by 3 publications

(3 citation statements)

References 35 publications

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“…In this study, pain was evaluated utilizing the VAS. This method is more preferred by patients for its simplicity as well as in its greater sensitivity in comparison to other pain scales in calculating the pain intensity changes that occur [38,39].…”

Section: Discussionmentioning

confidence: 99%

“…Metanalysis exhibited several superiorities of QLB for patients undergoing laparoscopic surgeries. The results indicated that application of QLB was associated with a smaller number of patients requiring additional analgesia, with reduced intraoperative opioid consumption and postoperative opioid consumption, and with lower incidences of postoperative nausea and vomiting (PONV) compared to placebo [38]. In contrast, Vamnes, Sorenstua, Solbakk, Sterud, and Leonardsen [39] concluded that preoperative anterior QLB for laparoscopic cholecystectomy does not affect postoperative opioid requirements and pain, but that it may decrease PONV.…”

Section: Discussionmentioning

confidence: 99%

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Effect of Quadratus Lumborum Block on Pain and Stress Response after Video Laparoscopic Surgeries: A Randomized Clinical Trial

Brandao

Silva

Perez

et al. 2023

JPM

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Background: There are many surgical and anesthetic factors that affect pain and the endocrine–metabolic response to trauma. The ability of anesthetic agents and neuronal blockade to modify the response to surgical trauma has been widely studied in the last few years. Objective: To evaluate if the anterior quadratus lumborum block contributes to improved surgical recovery, using as parameters analgesia, pulmonary function and neuroendocrine response to trauma. Methods: We carried out a prospective, randomized, controlled, and blinded study, in which 51 patients scheduled for laparoscopic cholecystectomy. Patients were randomly selected and assigned to 2 groups. The control group received balanced general anesthesia and venous analgesia, and the intervention group was treated under general, venous analgesia and anterior quadratus lumborum block. The parameters evaluated were: demographic data, postoperative pain, respiratory muscle pressure and inflammatory response to surgical stress with the plasma dosage of IL-6 (Interleukin 6), CRP (C-Reactive protein) and cortisol. Results: Anterior quadratus lumborum block induced the slowing of IL-6 cytokine production and a decrease in cortisol release. This effect was accompanied by the significant reduction of postoperative pain scores. Conclusion: Anterior quadratus lumborum block is an important strategy for analgesia in abdominal laparoscopic surgery and contributes to reducing the inflammatory response to surgical trauma with an early return of preoperative baseline physiological functions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effect of Quadratus Lumborum Block on Pain and Stress Response after Video Laparoscopic Surgeries: A Randomized Clinical Trial

Brandao

Silva

Perez

et al. 2023

JPM

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“…However, the stress level in the QLB group is significantly reduced and the pain is effectively alleviated due to the TAPB group. Experimental results of relevant scholars show that the use of QLB in laparoscopic colorectal surgery can reduce intraoperative and postoperative drug consumption [ 17 , 18 ]. The same conclusion is also reached in this study; the drug consumption of remifentanil and propofol in the two groups is lower in the QLB group than in the TAPB group.…”

Section: Related Workmentioning

confidence: 99%

[Retracted] Analysis of Interventional Application Effect of Ultrasound‐Guided QLB and TAPB in the Treatment and Analgesia of Patients Undergoing Laparoscopic Colorectal Surgery

Chen

Wang

2022

Contrast Media & Molecular Imaging

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Colorectal cancer is a common malignant tumor of the digestive system. In order to study the clinical efficacy of ultrasound-guided QLB and TAPB in the treatment and postoperative analgesia of patients undergoing laparoscopic colorectal surgery. A total of 96 patients undergoing laparoscopic colorectal surgery from January 2021 to January 2022 are selected as the study subjects. The results show that ultrasound-guided QLB and TAPB therapy have good analgesic effects in patients undergoing laparoscopic colorectal surgery, and QLB treatment and postoperative analgesic effect are better than TAPB.

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A year in review in Minerva Anestesiologica 2022: anesthesia, analgesia, and perioperative medicine

et al. 2023

View full text Add to dashboard Cite

Evaluation of analgesic effects and safety of quadratus lumborum block in patients undergoing laparoscopic surgery: a meta-analysis of randomized controlled trials

Cited by 3 publications

References 35 publications

Effect of Quadratus Lumborum Block on Pain and Stress Response after Video Laparoscopic Surgeries: A Randomized Clinical Trial

Effect of Quadratus Lumborum Block on Pain and Stress Response after Video Laparoscopic Surgeries: A Randomized Clinical Trial

[Retracted] Analysis of Interventional Application Effect of Ultrasound‐Guided QLB and TAPB in the Treatment and Analgesia of Patients Undergoing Laparoscopic Colorectal Surgery

A year in review in Minerva Anestesiologica 2022: anesthesia, analgesia, and perioperative medicine

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