Techniques for Preemptive Analgesia in Gynecologic Surgery

Liu, Lora; Yi, Johnny; Wasson, Megan

doi:10.1016/j.jmig.2018.09.768

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…It can weaken or suppress the surgical stress, inhibit the central or peripheral nerve sensitivity, and reduce or eliminate the pain caused by the harmful stimulation, so as to achieve effective analgesia, reduce the dosage of analgesic drugs and reduce adverse reactions. 25,26 Opioids are the main drugs for preemptive analgesia with definite effect, but they have many adverse reactions, which may delay the postoperative recovery of patients. 27,28 As a new truncal nerve block technique, ultrasound-guided QLB is accurate, safe and effective which is very widely used in clinical practice.…”

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%