Unlocking precision pain relief: The rise of fascial plane blocks in perioperative care: A commentary

Parab, Swapnil Y.; Gaikwad, Sheetal

doi:10.4103/ija.ija_556_24

Indian Journal of Anaesthesia

2024

DOI: 10.4103/ija.ija_556_24

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Unlocking precision pain relief: The rise of fascial plane blocks in perioperative care: A commentary

Swapnil Y. Parab,

Sheetal Gaikwad

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2024

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Comparison of Ultrasound-Guided Lumbar Erector Spinae Plane Block and Transmuscular Quadratus Lumborum Block for Post-Operative Analgesia in Total Hip Replacement Surgeries: A Prospective Randomized Study

SANGEETHA C,

MALATHI ANIL KUMAR,

VIJAYAKUMAR M HEGGERI

et al. 2024

Asian J Pharm Clin Res

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Objectives: The objective of the study is to compare the efficacy of ultrasound-guided lumbar erector spinae plane block (ESPB) and transmuscular quadratus lumborum block (QLB) in providing post-operative analgesia for patients undergoing total hip replacement (THR) surgeries. Methods: This prospective, randomized, double-blind study compared the efficacy of ultrasound-guided lumbar ESPB and transmuscular QLB (QLB-t) for post-operative analgesia in THR surgeries. Ninety patients were randomized into three groups: ESPB, QLB, and a control group. Primary outcomes included the duration of analgesia, measured by numeric rating scale scores, and secondary outcomes assessed total analgesic consumption and the incidence of post-operative nausea and vomiting (PONV) within 24 h. For statistical purposes, p<0.05 was taken as statistically significant. Results: This study compared lumbar ESPB and QLB for post-operative analgesia in THR surgeries. At the 1st h, pain scores were significantly lower in the ESPB (1.30) and QLB (1.05) groups compared to the control group (2.15) (p<0.001). Tramadol consumption in the first 12 h was significantly lower in the ESPB (52.3 mg) and QLB (50.1 mg) groups compared to the control group (135.20 mg) (p<0.001). PONV was absent in 60% of ESPB and 63% of QLB patients, compared to only 33% in the control group (p=0.038). Conclusion: Lumbar-ESPB and QLB-t blocks effectively reduce post-operative pain and analgesic requirements in THR surgeries, showing comparable benefits. Both techniques also lower the incidence of PONV.

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Comparison of Ultrasound-Guided Lumbar Erector Spinae Plane Block and Transmuscular Quadratus Lumborum Block for Post-Operative Analgesia in Total Hip Replacement Surgeries: A Prospective Randomized Study

SANGEETHA C,

MALATHI ANIL KUMAR,

VIJAYAKUMAR M HEGGERI

et al. 2024

Asian J Pharm Clin Res

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Unlocking precision pain relief: The rise of fascial plane blocks in perioperative care: A commentary

Cited by 1 publication

References 35 publications

Comparison of Ultrasound-Guided Lumbar Erector Spinae Plane Block and Transmuscular Quadratus Lumborum Block for Post-Operative Analgesia in Total Hip Replacement Surgeries: A Prospective Randomized Study

Comparison of Ultrasound-Guided Lumbar Erector Spinae Plane Block and Transmuscular Quadratus Lumborum Block for Post-Operative Analgesia in Total Hip Replacement Surgeries: A Prospective Randomized Study

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