ESRA19-0226 Comparing analgesic efficacy of quadratus lumborum block versus fascia iliaca block in patients undergoing total hip replacements

Hashmi, Javeria A.; Cusack, Barbara; Hughes, Lauren M; Singh, Vikram; Srinivasan, K

doi:10.1136/rapm-2019-esraabs2019.119

Cited by 3 publications

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“…The risk of bias was unclear in most domains for all ten abstracts. [12][13][14][15][16][17][18][19][20][21] Of the 42 included studies, eight were assessed as high risk of bias in at least one domain. 13,[22][23][24][25][26][27][28] Six studies were assessed as low risk of bias in all domains.…”

Section: Risk Of Biasmentioning

confidence: 99%

“…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%

“…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][41]46,49,50,53 and 15 used bupivacaine (0.125-0.5%). 13,15,16,21,23,26,30,[35][36][37][38]42,44,45,51 Three trials used an admixture of LA (bupivacaine with lidocaine), 28,43,52 and three trials used levobupivacaine. 25,47,48 Type of surgery All studies involved adult patients undergoing various abdominal or hip procedures.…”

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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Section: Risk Of Biasmentioning

confidence: 99%

Section: Risk Of Biasmentioning

confidence: 99%

Section: Risk Of Biasmentioning

confidence: 99%

Section: Risk Of Biasmentioning

confidence: 99%

Section: Risk Of Biasmentioning

confidence: 99%

See 3 more Smart Citations

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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Postoperative analgesic effectiveness of quadratus lumborum block: systematic review and meta-analysis for adult patients undergoing hip surgery

et al. 2022

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Background Quadratus lumborum block is a truncal block with several technique variations. It has been reported as providing effective analgesia for postoperative pain. The aim of this study is to determine the efficacy of the QL block in providing postoperative analgesia for hip surgery when compared with placebo or no block or other analgesic techniques. Methods Randomized trials evaluating quadratus lumborum block benefits in elective hip surgery were sought. The primary outcome was the 24 h opioid requirement after surgery. Two independent reviewers selected the studies and extracted the data. Results Thirteen randomized-controlled trials were included in this study. The included studies had significant heterogeneity regarding comparator groups; therefore, a limited quantitative analysis was undertaken for the comparison of QL block versus no block or placebo only. QL block reduced the opioid use by 15.78 (95% CI, 2.31 to 29.26) mg IME in the first postoperative 24 h compared with no block or placebo with no difference in static pain scores, pain grade was reduced by 2.95 (95% CI, 2.40 to 3.60) in the QL block group compared with placebo or no block in the first postoperative 24 h during movement. Conclusions Our meta-analysis indicates that QL block may be effective for analgesia in patients after hip surgery compared with placebo or no block. There is currently limited evidence comparing QL block with other analgesic techniques for hip surgery.

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Analgesic Efficacy of Ultrasound Guided Quadratus Lumborum Block and FasciaI liaca Compartment Block for Patient Schedualed for Dynamic Hip Screw Surgery

Elsayed

Hasanin

Kamel

et al. 2021

Benha Journal of Applied Sciences

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After complete hyparthroplasty, postoperative discomfort is a significant issue. In these patients, many methods are often utilised in postoperative analgesia, including neuraxial analgesia, intravenous analgesia and peripheral neuron blocks. The benefit of peripheral nerveblocks is phytosanitary treatment, reduced engine impairment and fewer systemic effects. Common peripheral blocks of nerve for hip operations include suprainguinal fasciailiacablock(FIB) and lumbar plexusblock. The Quadratus lumborum block (QL) is a newly designed lower abdominal and hip chirurgical block with high performance. Seventy patients between 8-70 years of age with ASA physical status I-III were enrolled in the research and were scheduled for dynamic hip screw surgery under subarachnoid block (SAB) hip. Patients were randomly assigned in one of two groups using the hidden closed envelope method: group of FICBs (n=35): this group receives a suprainguinal iliac fascia block, the end of the injection is deep to the fascia iliaca and the lateral portion of the iliacus muscle above the iliacus. 30 mL of 0.25 percent of Bupivacaine is injected gradually beneath the fascial plane and each 5 ml is absorbed after negative aspiration. QLB Group (n=35): the group got ultrasonically-guided lumborum block transmuscular quadratus; (QLB anterior or QLB III) a needle tip between the main muscle of the psoas and the lumborum muscles of the quadratus is inserted. After negative aspiration, 30 mL of 0.25% bupivacaine is gradually administered into the fascial plane, each 5 ml aspiration. Both FIB and transmuscular QLB performed in the first 24 hour postopérative and comparable analgesic duration following hip arthroplasty operations with similar static and dynamic VAS. Both single shot blocks FIB and QLBT offer excellent postoperative analgesia afterTHA. FIB demonstrated a little reduced intake of morphine over 24 hours.

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ESRA19-0226 Comparing analgesic efficacy of quadratus lumborum block versus fascia iliaca block in patients undergoing total hip replacements

Cited by 3 publications

References 0 publications

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

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

Postoperative analgesic effectiveness of quadratus lumborum block: systematic review and meta-analysis for adult patients undergoing hip surgery

Analgesic Efficacy of Ultrasound Guided Quadratus Lumborum Block and FasciaI liaca Compartment Block for Patient Schedualed for Dynamic Hip Screw Surgery

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