Higher intra-operative narcotic requirements and weakness with quadratus lumborum compared to paravertebral nerve block for total hip arthroplasty

Hummel, Amelia; Gaucher, Donald; Wang, Peter; Lawton, Dylan R. Y.; Andrews, Samantha; Nakasone, Cass K.

doi:10.1007/s00402-023-04925-8

Cited by 3 publications

(1 citation statement)

References 22 publications

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“…There were no statistical differences in the postoperative nerve block-related complications (puncture site hematoma, puncture site infection, local anesthetic poisoning, respiratory depression, nausea and vomiting, lower limb weakness on the affected side) between the QLB and ESPB groups. Some studies reported [29,30] patients developed double lower limb muscle weakness and shoulder radiation pain after undergoing QLB or ESPB, but no such complications were reported in our study. The time of first implantation; there was no statistical difference in first discharge time, and the postoperative hospital stay time of Group ESPB was shorter compared with the QLB group, which is consistent with Yao et al [31] .…”

Section: Disscussioncontrasting

confidence: 63%

Comparison of ultrasound-guided erector spinal muscle plane block and quadratus block for laparoscopic renal cancer resection:A single-center,double-blind, randomized controlled trial

Zhang,

Zhao,

et al. 2024

Preprint

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Objective:This study investigated the effects of ultrasound-guided erector spinal muscle plane block (ESPB) and quadratus muscle block (QLB) on the quality of analgesia and recovery after laparoscopic nephrectomy.Design:randomized, controlled, double-blind study.Setting: A single tertiary care academic medical center,include anesthesia preparation room, operating room, anesthesia recovery room and ward.Patients:Aged 18-70years,ASA grades I-III,elective laparoscopic partial nephrectomy or radical nephrectomy and 54 patients were included in the statistical analysis.Interventions:All included patients were randomassigned to the erector spinal muscle plane block or the quadratus block,and all patients underwent morphine pump controlled analgesia.Results:The study found that ultrasound-guided ESPB had a higher incidence of hypotension than QLB at the T1 time point, but it did not significantly increase the intraoperative dose of the vasoactive drug used. Patients in the ESPB group showed significant improvement in resting NRS pain scores at 0.5h,number of morphine pumps at 6h and 24h, cumulative morphine equivalent consumed 6h after surgery, and QOR-15 score at 24 h after surgery, and shortened hospital stay.Conclusions:Compared with QLB,ESPB has certain advantages in analgesia and recovery quality after laparoscopic nephrectomy, and shows opioid frugality effect at individual postoperative time points.

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Section: Disscussioncontrasting

confidence: 63%

Comparison of ultrasound-guided erector spinal muscle plane block and quadratus block for laparoscopic renal cancer resection:A single-center,double-blind, randomized controlled trial

Zhang,

Zhao,

et al. 2024

Preprint

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The prevalence of bilateral and ipsilateral radiographic osteoarthritis is high in White, Asian and Native Hawaiian/Pacific Islanders presenting for unilateral knee or hip arthroplasty

Kop,

Kim,

Shimoda

et al. 2024

Arch Orthop Trauma Surg

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Use of Peripheral Nerve Blocks for Total hip Arthroplasty

Grinman,

Elmore,

Ardon

et al. 2024

Curr Pain Headache Rep

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Purpose of Review The purpose of this review is to summarize the recent literature regarding regional anesthesia (RA) techniques and outcomes for total hip arthroplasty (THA) in the face of changing surgical techniques and perioperative considerations. Recent Findings Based on large meta-analyses, peripheral nerve blocks are indicated for THA. Each block has its own risks and benefits and data for outcomes for particular techniques are limited. Summary New surgical techniques, improved use of multimodal analgesia, and improved ultrasound guided regional anesthetics lead to better pain control for patients undergoing THA with less associated risks. Block selection continues to be influenced by provider comfort, surgical approach, patient anatomy, and postoperative goals. Head-to-head studies of particular nerve blocks are warranted.

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Higher intra-operative narcotic requirements and weakness with quadratus lumborum compared to paravertebral nerve block for total hip arthroplasty

Cited by 3 publications

References 22 publications

Comparison of ultrasound-guided erector spinal muscle plane block and quadratus block for laparoscopic renal cancer resection:A single-center,double-blind, randomized controlled trial

Comparison of ultrasound-guided erector spinal muscle plane block and quadratus block for laparoscopic renal cancer resection:A single-center,double-blind, randomized controlled trial

The prevalence of bilateral and ipsilateral radiographic osteoarthritis is high in White, Asian and Native Hawaiian/Pacific Islanders presenting for unilateral knee or hip arthroplasty

Use of Peripheral Nerve Blocks for Total hip Arthroplasty

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