Ultrasound guided lateral quadratus lumborum block enhanced recovery in patients undergoing laparoscopic colorectal surgery

Wang, Danfeng; He, Ying; Chen, Xiaohui; Lin, Yanling; Liu, Yanjie; Yu, Zenggui

doi:10.1016/j.advms.2020.12.002

Cited by 17 publications

(20 citation statements)

References 32 publications

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“…43,44 Our results showed that these parameters in Group Q were significantly improved compared with those in Group C (P<0.01). Our findings are very similar to those of Wang et al, 45 who reported that QLB significantly reduced perioperative opioid requirement, alleviated postoperative analgesia, shortened the time to first ambulation and flatus, and accelerated postoperative recovery of the patients undergoing laparoscopic colorectal surgery. In a randomized controlled trial, Zhu et al 46 study reported that QLB could improve recovery and postoperative cognitive function in elderly patients undergoing laparoscopic radical gastrectomy after surgery.…”

Section: Discussionsupporting

confidence: 91%

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: Discussionsupporting

confidence: 91%

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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“…Then, the patients were randomly divided into ropivacaine block combined with general anesthesia group (group A), ropivacaine+morphine block combined with general anesthesia group (group B), and placebo control group (group C) according to the ratio of 1 : 1 : 1. All three groups of patients received the same protocol of PCIA after operation [18].…”

Section: Methods and Informationmentioning

confidence: 99%

Evaluation of Analgesia Effect after Ultrasound-Guided Laparoscopic Renal Surgery

You

Liu

2021

Computational and Mathematical Methods in Medicine

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Kidney surgery involves placing the kidney in the iliac fossa of the lower abdomen on the right or left side. Studies have found that most kidney patients experience moderate to severe pain after surgery. The stress response caused by postoperative pain, especially visceral pain, not only aggravates the patient’s pain and irritability and aggravates the original complications but may also harm the early recovery of renal function and affect the survival of the kidney. Therefore, adequate postoperative analgesia for renal patients is essential. This paper combines ultrasound-guided laparoscopic technology to improve the postoperative analgesia effect of renal surgery and compares the data with experimental research methods. Through experimental research, it can be seen that the method proposed in this article has a certain effect, and ultrasound-guided laparoscopic technology can be used in follow-up clinical research to improve the analgesic effect of renal surgery.

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“…Wang et al [ 38 ] reported that lateral QLB could enhance recovery after laparoscopic colorectal surgery where the QoR-15 score at 48 h postoperatively was greatly improved. However, the study did not investigate the five dimensions of the QoR-15 and the score at 24 h after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…However, the advantages were less pronounced than other analgesic techniques [ 42 ]. Wang et al [ 38 ] assessed the efficacy of lateral QLB on postoperative pain in patients undergoing laparoscopic colorectal surgery. They reported that QLB relieved pain intensity during coughing at 2, 6, and 12 h after surgery, while the efficacy at rest only occurred at 2 and 6 h after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Fujimoto et al [ 40 ] reported that posterior QLB significantly reduced intraoperative remifentanil consumption in patients undergoing major laparoscopic gynecological surgery. Contrarily, a randomized controlled study of patients undergoing laparoscopic colorectal surgery showed that lateral QLB could not reduce intraoperative remifentanil consumption but intraoperative sufentanil consumption [ 38 ]. Nevertheless, we did not observe a significant difference in intraoperative remifentanil consumption between QLB and control groups.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound-Guided Quadratus Lumborum Block Enhances the Quality of Recovery after Gastrointestinal Surgery: A Randomized Controlled Trial

Liu

Dai

Xie

et al. 2022

Pain Research and Management

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Background. Quadratus lumborum block (QLB) has been used to reduce postoperative acute pain and opioid consumption. However, the efficacy of QLB on the quality of recovery (QoR) after gastrointestinal surgery has not been established. The aim of this study was to evaluate the ability of QLB to enhance the postoperative QoR in patients undergoing open gastrointestinal surgery. Methods. Eighty-four patients undergoing open gastrointestinal surgery were randomized to receive ultrasound-guided QLB with either 20 ml of 0.375% ropivacaine or saline. The primary outcome was the QoR-15 score at 24 h after surgery. The secondary outcomes were the postoperative pain intensity, opioid consumption, the incidence of nausea, vomiting, and chronic pain. Results. The global QoR-15 score at 24 h postoperatively was significantly higher in the QLB group than in the control group (mean difference: 16.9; 95% CI: 11.9–21.9). Additionally, the QoR-15 scores for five dimensions were significantly higher in the QLB group than in the control group. The cumulative oxycodone consumption was significantly lower in the QLB group during 0–6, 6–24, 0–24, 24–48, and 0–48 h postoperatively than in the control group. At rest or during coughing, the pain verbal rating scale scores were significantly lower at 1, 3, 6, 12, and 24 h after surgery in the QLB group than in the control group. The incidence of postoperative nausea was significantly different between the groups, but postoperative vomiting was not. Conclusion. Single-injection posteromedial QLB with ropivacaine enhanced the QoR at 48 h after surgery and improved analgesia during the early postoperative period in patients undergoing gastrointestinal surgery.

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Ultrasound guided lateral quadratus lumborum block enhanced recovery in patients undergoing laparoscopic colorectal surgery

Cited by 17 publications

References 32 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

Evaluation of Analgesia Effect after Ultrasound-Guided Laparoscopic Renal Surgery

Ultrasound-Guided Quadratus Lumborum Block Enhances the Quality of Recovery after Gastrointestinal Surgery: A Randomized Controlled Trial

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