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Evaluation Of Ultrasound Guided Transversus Abdominis Plane Block Versus Quadratus Lumborum Block As Preemptive Analgesia For Inguinal Hernia Repair Surgeries
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Book Synopsis Evaluation Of Ultrasound-Guided Transversus Abdominis Plane Block Versus Quadratus Lumborum Block As Preemptive Analgesia For Inguinal Hernia Repair Surgeries by : Amany Ammar
Download or read book Evaluation Of Ultrasound-Guided Transversus Abdominis Plane Block Versus Quadratus Lumborum Block As Preemptive Analgesia For Inguinal Hernia Repair Surgeries written by Amany Ammar and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Objective: to evaluate of ultrasound-guided transversus abdominis plane block versus quadratus lumborum block as preemptive analgesia.Background: Ultrasound guided Quadratus lumborum block is a new technique of regional analgesia. Subjects and Methods: A prospective randomized study was conducted on 56 patients with ASA I or II physical status who undergoing elective unilateral inguinal hernia repair surgery attended to general surgery department, Faculty of Medicine, Menoufia University during February till December 2018. Patients were divided into: Group T: included 28 patients who received ultrasound-guided TAP block with 20 ml of bupivacaine 0.25%. Group Q: included 28 patients who received ultrasound-guided QLB with 20 ml of bupivacaine 0.25%. Full history, routine, physical examination and hear rate, blood pressure was measured. Results between groups T & Q and significantly lower in gro: VAS values were at low levels and comparable between the groups T and Q. On admission to the PACU and at (30, 60, 90 and 120) minutes postoperative showed lower values in group Q with no significant difference (P=0.089, 0.188, 1.00, 0.247 respectively). Then the values started to rise and still comparable up Q at 3, 5, 6, 7, 12, 18, 20 and 24 hours postoperatively (P
Book Synopsis Comparison Of Ultrasound Guided Transversus Abdominis Plane Block And Quadratus Lumborum Block For Postoperative Pain In Cesarean Section by :
Download or read book Comparison Of Ultrasound Guided Transversus Abdominis Plane Block And Quadratus Lumborum Block For Postoperative Pain In Cesarean Section written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Comparison of ultrasound guided transversus abdominis plane block and quadratus lumborum block for postoperative pain in cesarean section: A prospective, randomized-controlled studyU Caglayan1, C Yilmaz1, D Karasu1, SE Ozgunay1, F Ata1, S Cansabuncu11 University of Health Sciences Bursa Yuksek Ihtisas Training and Education Hospital Departmentt of Anesthesiology and Reanimation, Bursa,TurkeyIntroductionNeuroaxial anesthesia methods are preferred In cesarean section. General anesthesia is performed when the regional anesthesia is contraindicated or when the patient does not want regional anesthesia. Effective analgesia after cesarean section is important for faster recovery and prevention complications.Transversus abdominis plane block (TAP) and Quadratus lumborum block (QL) are used for postoperative analgesia in lower and upper abdominal surgeons (1-4). However, studies comparing the analgesic efficacy of truncal blocks after cesarean section under general anesthesia are inadequate.The aim of this study is to compare the postoperative analgesic efficacy of TAP Block and QL Block administered by ultrasound (US) guidance under the general anesthesia for cesarean section.Materials and MethodsThe study protocol was approved by the Local Ethics Committee and Australian New Zealand Clinical Trials Registry (Ref: ACTRN12617000842369). A written informed consent was obtained from each patient. The study was carried out in accordance with The Code of Ethics of the Declaration of Helsinki. 99 pregnant women aged 18-49 years who refused or contraindicated to regional anesthesia were included in study. In this prospective, randomized, and double blinded study, patients that scheduled for elective cesarean section, were randomly allocated in two groups (Group TAP n=49, Group QL n=50). Standard monitorization and general anesthesia was performed. After surgery was completed, TAP or lateral QL Block (QL1 Block) was applied bilaterally with US guidance.All patients received tenoxicam (20 mg) iv as a multimodal analgesic component. Patient-controlled analgesia (PCA) pump was used for all patients (no loading dose, 25 mg tramadol bolus, 20 minutes of lock out time). The severity of postoperative pain was measured by VAS scale (0=no pain, 10=the worst possible pain). Patients were asked to score the pain at different times after the operation, both at rest and during coughing, 0. 2. 6. 12. and 24 h later. ResultsDemographics, intraoperative hemodynamic changes, duration of surgery and intraoperative fentanyl consumption were similar in both groups (p>0,05). Duration of anesthesia was statistically longer in the Group QL (p=0.044). Primary Outcomes Total tramadol consumption was 227u00b197 mg in Group TAP and 166u00b1101 mg in Group QL (p=0.003). However, no significant difference was found statistically regarding to demand of rescue analgesics (p=0.876). First analgesic administration with PCA was later in Group QL (0,43u00b10,76h vs 1,74u00b12,36 h, p0,001). VAS scores at rest and movement were found in Table 1-2.Secondary OutcomestThere was no statistically significant difference between groups in terms of postoperative side effects (p 0,05). Patient satisfaction in Group QL was significantly higher (p = 0.013).Table 1: Resting VAS scores according to groups VAStGroup TAP (n=49)tGroup QL (n=50)tp0th h#t2,65 u00b11,01t2,00u00b10,96t0,001*2nd h#t1,53u00b10,64t1,18 u00b10,69t0,011*6th h#t1,35 u00b10,72t0,94u00b10,62t0,003*12th h#t1,57 u00b10,76t1,30u00b10,78t0,08524th h#t0,94u00b10,45t0,70u00b10,54t0,022*VAS: Visual Analog scale #: Meanu00b1Standard Deviation, *p
Book Synopsis Postoperative Analgesic Efficiency Of Ultrasound Guided Transversus Abdominis Plane Block Using Different Concentrations Of Bupivacaine In Inguinal Hernia Repair by :
Download or read book Postoperative Analgesic Efficiency Of Ultrasound Guided Transversus Abdominis Plane Block Using Different Concentrations Of Bupivacaine In Inguinal Hernia Repair written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Goal of Study:Effective postoperative analgesia is very important in reducing postoperative morbidity, accelarating recovery and avoding chronic postoperative pain. Ultrasound guided transversus abdominis plane(TAP) block is done as a part of multimodal analgesia for pain relief after surgeries.This study was conducted to evaluate postoperative analgesic efficacy of unilateral TAP Block using different concentration of bupivacaine in patients undergoing inguinal hernia surgeries.Materials and Methods:After ethical approval and patient informed consent, seventy-five patients scheduled for inguinal hernia repair surgery were divided into three equal groups.Group-I(GI) TAP block with 20ml 0.25% bupivacaine, Group-II(GII) TAP block with 20ml 0.125% bupivacaine and Group-III(GIII) no TAP block. After standart induction, anesthesia was maintained with general anesthesia.TAP Blocks were performed with ultrasound guidance. 20ml 0.25% or 0.125% bupivacaine applied between internal oblique and transversus abdominis muscles before the surgery start. Postoperative pain scores were evaluated with visual analog scale(VAS) at 30th and 60th min on recovery room, at 2nd,4th,8th,12th and 24th hour in the ward. An additional and a rescue analgesics were applied when VAS scoresu22654.First analgesic application time, the number of additional and rescue analgesic, postoperative nausea-vomiting and patient satisfaction were recorded.Results and Discussion:The postoperative pain scores were statistically lower in GI and GII than GIII in recovery room and in the ward(P
Book Synopsis Transversus Abdominis Plane (TAP) Block With Different Bupivacaine Concentrations In Paediatric Patients Undergoing Unilateral Inguinal Hernia Repair Surgery by :
Download or read book Transversus Abdominis Plane (TAP) Block With Different Bupivacaine Concentrations In Paediatric Patients Undergoing Unilateral Inguinal Hernia Repair Surgery written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Transversus abdominis plane (TAP) block is a safe and effective analgesia technique for paediatric patients (1). This study is designed to compare the analgesic efficacy of different bupivacaine concentrations in paediatric patients undergoing ultrasound-guided TAP blocks for unilateral inguinal hernia repair surgery.Materials and Methods: Seventy-four patients aging between 1 and 8 years, undergoing unilateral inguinal hernia surgery, were enrolled for this study after obtaining Institutional Ethics Committee approval and written informed consents from parents or legal guardians (2016/1281). Group 1 (n:37) received 1 mg/kg bupivakain 0.25% and Group 2 (n: 37) received 1 mg/kg bupivakain 0.125% for ultrasound-guided TAP block following standard general anaesthesia induction (Figure 1). All patients received remifentanil 0,1 u03bcg/kg/h infusion and paracetamol 15 mg/kg intraoperatively, andparacetamol 4x15 mg/kg per day postoperatively. FLACC (Face, Legs, Activity, Cry, Consolability) behavioral pain assessment scale was used for evaluating patientsu2019 postoperative pain levels at 15-, 30-, 45-minute and 1-, 2-, 6-, 24-hour. Tramadol 1 mg/kg was administered intravenously as rescue analgesic when FLACC score was u22654. Total analgesic requirement, length of hospital stay and side effects were recorded.Results: Sixty-four patients, Group 1 (n:30) and Group 2 (n:34), completed the study. Demographic data were similar in both groups (p>0.05). FLACC pain scores at all time points (Figure 2), total analgesic requirement and length of hospital stay were all comparable in both groups (p>0.05). None of the patients reported FLACC score u22654 orasked for rescue analgesic after postoperative 6th hour. No perioperative and/or postoperative complication was observed.Conclusion: This study demonstrated that higher and lower concentrations of bupivacaine do not have any superiority over each other when the doses are kept equal in TAP blocks. TAP blocks are effective regional analgesic techniques for pediatric patients undergoing inguinal hernia repair surgery.References: Sahin L, Sahin M, Gul R et al. Ultrasoundguided transversus abdominis plane block in children: a randomised comparison with wound infiltration. Eur J Anaesthesiol 2013;30:409-14.
Book Synopsis Comparison of Ultrasound-guided Transversus Abdominis Plane Block effectiveness versus Port Site Local Anaesthetic Infiltration for pain management Post Laparoscopic Inguinal Hernia Repair at Dr. George Mukhari Academic Hospital by : K. Pege-Digwamaje
Download or read book Comparison of Ultrasound-guided Transversus Abdominis Plane Block effectiveness versus Port Site Local Anaesthetic Infiltration for pain management Post Laparoscopic Inguinal Hernia Repair at Dr. George Mukhari Academic Hospital written by K. Pege-Digwamaje and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Comparison of the Effectiveness of the Ilioinguinal-iliohypogastric Block and the Transversus Abdominis Plane Block for Analgesia After Unilateral Inguinal Hernia Repair by : Hedi Charrada
Download or read book Comparison of the Effectiveness of the Ilioinguinal-iliohypogastric Block and the Transversus Abdominis Plane Block for Analgesia After Unilateral Inguinal Hernia Repair written by Hedi Charrada and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Goal of Study: Ilioinguinal-iliohypogastric block (IHN) and TAP block were regional block techniques that provides effective analgesia after some abdominal surgery. In this study, we compared the analgesic efficacy of the ultrasound (US) guided IHN block and TAP block for analgesia after unilateral inguinal hernia repair. Materials and methods: We conducted a prospective double-blinded randomized study. Sixty patients aged between 20 and 60 years, belonging to ASA I-II scheduled for unilateral hernia repair were randomly allocated into 2 groups: TAP block (Group1, n=30); and II/IH block (Group2, n=30). Unilateral US block was performed with 30 ml 0.125% bupivacaine after induction of a standardized general anesthesia. A postoperative analgesic regimen was used consisting of morphine Patients controlled Analgesia and paracetamol 500mg PO every 6 h. The primary endpoint was the morphine consumption in the 24 h postoperatively. Visual Analog Scale 0-10 (VAS) pain score (while moving and at rest), the cumulative opioid consumption every hour, the time for first bolus of opioid, the quality of recovery questionnaire (QOR-9) were the secondary endpoint. Results and discussion: The total amount of 24-hour morphine consumption was significantly higher in Group1 (9.16 mg u00b1 1.61) than group2 (5.07 mg u00b1 1.06) p=0.034.The amount of opioid consumption at six, 11, 15 and 18 hours postoperatively was significantly higher in Group1. VAS pain scores at rest were significantly lower in Group1 at 6 hours postoperatively. There were no between-group differences in QOR-9 and in the time for first bolus of opioid. Conclusion : IHN and TAP block are both effective in controlling postoperative pain after unilateral hernia repair. The IHN block has the advantage of less dose of opioid requirement in the 24h postoperatively.
Book Synopsis Comparison Of The Post-Operative Analgesic Effect Of Transverse Abdominis Plane Block Between 015% And 025% Ropivacaine After Inguinal Hernia Repair In Children by :
Download or read book Comparison Of The Post-Operative Analgesic Effect Of Transverse Abdominis Plane Block Between 015% And 025% Ropivacaine After Inguinal Hernia Repair In Children written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BackgroundTransverse abdominis plane(TAP) block can provide more safe and optimal analgesia in pediatric population. However, optimal dose and concentration for post-operative analgesia for inguinal hernia in pediatric population is not well defined.Methods Fourty four patients under seven years old without co-morbidities scheduled for elective unilateral inguinal herniorrhaphy in a single tertiary hospital were randomly assigned between two groups. Group I : 0.15% ropivacaine 0.67cc/kg, Group II : 0.25% ropivacaine 0.4cc/kg. Both groups were injected 1mg/kg of ropivacaine. Ultrasound guided TAP block was given at the end of surgery before awakening the patient. Post-operative pain was assessed immediately after arriving post-anesthesia care unit(PACU) (T1) and one hour (T2) and six hours (T3) after surgery using Face, Legs, Activity, Cry, Consolability score(FLACC score).Results FLACC score at T1 was higher in 0.15% ropivacaine group. ( 2.91 vs. 1.36, mean difference 1.55, 95% CI 0.1187 to 2.972, p=0.0344 ). At T1, FLACC score more than three was more frequent in 0.15% ropivacaine group ( 9 vs. 3 ). FLACC score at T2 ( 0.38 vs. 0.33, p=0.8698) and T3 ( 0.15 vs. 0.17, p=0.9339 ) are not different between two groups. Fentanyl usage at PACU was also higher in 0.15% ropivacaine group. ( 0.22mcg/kg vs. 0.07mcg/kg, mean difference -0.15, CI -0.2877 to -0.0034, p=0.0450).Conclusions Current study suggests that TAP block with more diluted local anesthetic and large volume might have no advantage for immediate post-operative analgesia after unilateral inguinal herniorrhaphy.
Book Synopsis COULD THE ULTRASOUND-GUIDED QUADRATUS LUMBORUM BLOCK TYPE 2 BE AN EFFECTIVE TECHNIQUE FOR POSTOPERATIVE ANALGESIA IN LAPAROSCOPIC SURRENECTOMY ? A CASE REPORT by :
Download or read book COULD THE ULTRASOUND-GUIDED QUADRATUS LUMBORUM BLOCK TYPE 2 BE AN EFFECTIVE TECHNIQUE FOR POSTOPERATIVE ANALGESIA IN LAPAROSCOPIC SURRENECTOMY ? A CASE REPORT written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Aims:Recent evidences suggested that posterior approaches to the transversus abdominis plane (TAP) block may provide effective postoperative analgesia in laparoscopic abdominal surgery. The ultrasound-guided Quadratus lumborum block type 2 (US-QLB 2) is a novel technique which could be an effective method for postoperative pain relief in these procedures. To test this hypothesis we performed US-QLB 2 in a patient underwent laparoscopic surrenectomy.Methods:A 62-years-old man,BMI 42 Kg/m2 , ASA 3, was scheduled to undergo laparoscopic surrenectomy for an aldosterone-producing adenoma, causing renal insufficiency and vascular damage subsequent to long-term uncontrolled hypertension.Written informed consent was obtained. After induction of general anaesthesia, with the patient in lateral position, we performed US-QLB 2 by injecting 20 ml of 0,5% Levobupicaine in the fascial plane between the quadratus lumborum and latissimus dorsi muscles. Before the end of surgery, 1 g of acetaminophen and Ketorolac 30 mg were intravenously administered. ResultsIntraoperative hemodynamic stability was obtained. In the first 24 hours after surgery, patient reported a prolonged pain relief. Only 3 g of acetaminophen and ketorolac 90 mg were administered, without opioids needing. No discomfort and complications were recorded postoperatively. Conclusions:This case report suggested that US-QLB 2 could provide long-lasting analgesia improving visceral pain control, likely due to extension of local anaesthetic into the paravertebral space. Further studies should be needed to confirm if this technique will be considered a safe and effective method for postoperative analgesia in laparoscopic surrenectomy.
Book Synopsis THE ANALGESIC EFFICACY OF ULTRASOUND GUIDED CONTINUOUS QUADRATUS LUMBORUM BLOCK VERSUS CONTINUOUS PARAVERTEBRAL BLOCK IN RADICAL CYSTECTOMY-A RANDOMIZED STUDY by : Amr Hieba
Download or read book THE ANALGESIC EFFICACY OF ULTRASOUND GUIDED CONTINUOUS QUADRATUS LUMBORUM BLOCK VERSUS CONTINUOUS PARAVERTEBRAL BLOCK IN RADICAL CYSTECTOMY-A RANDOMIZED STUDY written by Amr Hieba and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Various techniques of regional anesthesia have been used in abdominal surgery including thoracic epidural, thoracic paravertebral block, transverses abdominal plane block. However new techniques such as quadratus lumborum block are tested to detect its efficacy.Purpose: To compare between intraoperative and postoperative analgesic effect of ultrasound guided continuous quadratus lumborum block and continuous thoracic paravertebral block in patients operated for radical cystectomy (primary outcome). Side effects, length of hospital stay and patient satisfaction (secondary outcome).Methods: 60 patients admitted to Urosurgery department at Alexandria Main University Hospital for radical cystectomy were randomly assigned into 2 groups, 30 patients for each group: group I received ultrasound guided quadratus lumborum block with 0.3 ml /kg bupivacaine 0.25% on each side with catheter insertion for maintenance doses 0.1ml/kg/hr on each side while group II will received ultrasound guided thoracic paravertebral block with 0.3 ml/kg bupivacaine 0.25 % on each side with catheter insertion for maintenance doses 0.1 ml/kg/hr on each side.Results: There was no statistically significant difference between the two groups regarding postoperative VAS score, first request of analgesia and length of hospital stay, however there was statistically significant difference between the two groups as regards heart rate and mean blood pressure at 1sr,4th,6th and 7th hrs during the intraoperative periods.Conclusion: It can be concluded that there is no difference in the analgesic efficacy, opioid consumption, and hospital stay between continuous bilateral quadratus lumborum block and continuous bilateral thoracic paravertebral block after radical cystectomy. These data suggest that quadratus lumborum block is a viable alternative for delivering multimodal analgesia in radical cystectomy.
Book Synopsis Efficacy Of Ultrasound-Guided Transversus Abdominis Plane (TAP) Block For Reducing Post-Operative Pain And Peri-Operative Analgesic Requirement In Patients Undergoing Lower Abdominal Surgery by :
Download or read book Efficacy Of Ultrasound-Guided Transversus Abdominis Plane (TAP) Block For Reducing Post-Operative Pain And Peri-Operative Analgesic Requirement In Patients Undergoing Lower Abdominal Surgery written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: TITLE: EFFICACY OF ULTRASOUND-GUIDED TRANSVERSUS ABDOMINIS PLANE (TAP) BLOCK FOR REDUCING POST-OPERATIVE PAIN AND PERI-OPERATIVE ANALGESIC REQUIREMENT IN PATIENTS UNDERGOING LOWER ABDOMINAL SURGERY.ABSTRACT -BACKGROUND AND AIMS: Ultrasound-guided TAP block helps deposit local anaesthetic between the internal oblique and transversus abdominis muscles . Its role as a part of multimodal analgesic technique for gynaecological abdominal surgeries needs to be clearly defined. The objective of this study was to assess TAP block for post-operative analgesia and peri-operative fentanyl requirement.METHODS: After ethics committee approval and obtaining written informed consent, 30 ASA 1 and 2 patients scheduled for Total abdominal hysterectomy and bilateral salpino-oopherectomy using infraumbilical midline vertical incision were recruited. They were randomly divided to receive bilateral pre-incisional TAP block with ropicavaine (group R) or normal saline (group S) using ultrasound guidance. RESULTS: The VAS scores both at rest and movement were less in group R at 0, 4, 8, 12 and until 24 hours post-surgery (p
Book Synopsis The Effects of Preoperative Quadratus Lumborum Block Application on Postoperative Pain in Inguinal Hernia Repair: Our Retrospective Experience by : Ertugrul Ku0131lu0131u00e7
Download or read book The Effects of Preoperative Quadratus Lumborum Block Application on Postoperative Pain in Inguinal Hernia Repair: Our Retrospective Experience written by Ertugrul Ku0131lu0131u00e7 and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Aim: Quadratumlumborumblock II (QL II) is a methodusedforpaincontrolafterabdominalsurgeons. Inthisstudy, weaimedtoretrospectivelyinvestigatetheeffect of ultrasound-guided QL II on postoperativeanalgesiaandopioidconsumption in InguinalHerniarepairsurgery (IHC) operationsunder general anesthesia.MaterialandMethod: Thisretrospectivestudywascarriedoutretrospectivelywiththefiles of patientswith IHC under general anesthesia in ourclinicbetween 01.01.2018 and 01.04.2018. Thepatientswhowereunder general anesthesiadividedtwogroups. QL used (group Q) andunused (group G) patients. Painlevelsmeasuredbypostoperativevisual analog scale (VAS) andconsumption of opioidwererecordedaccording of their file knowledges.Result: Postoperative VAS at 2, 4, 8 and 12 hoursgroup G wasstatisticallysignificantlyhigher. Postoperative total opioidconsumptionwasstatisticallyhigher in group G. Postoperativeopioidfirstusing time wasstatisticallyprolonged in group Q.Conclusions: Forresult of thisretrospectivelydesignedstudywasobservedthatinguinalherniaoperationswereeffective in QL paincontrol in the first 24 hourspostoperatively. Prolongingopioidfirstusing time alsoreducingopioidconsumption.
Book Synopsis DETERMINATION OF ANALGESIC EFFICACY OF ULTRASOUND-GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK WITH LEVOBUPIVACAINE IN LAPAROSCOPIC TOTAL EXTRAPERITONEAL REPAIR OF HERNIA SURGERIES. by :
Download or read book DETERMINATION OF ANALGESIC EFFICACY OF ULTRASOUND-GUIDED TRANSVERSUS ABDOMINIS PLANE BLOCK WITH LEVOBUPIVACAINE IN LAPAROSCOPIC TOTAL EXTRAPERITONEAL REPAIR OF HERNIA SURGERIES. written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND AND AIMSLaparoscopic TEP repair surgeries are less painful, but the port access, tissue dissection and gas insufflation lead to pain. Bilateral TAP block in such cases may be beneficial. Our aim is to determine the efficacy of TAP block with levobupivacaine in these cases. METHODSAfter obtaining Institute Ethics Committee approval and consent, 60 patients of ASA I-II aged between 18 to 80 years planned for laparoscopic total extraperitoneal (TEP) repair of unilateral hernia under general anesthesia were randomized into two groups. Group TAP u2013 after institution of general anesthesia, before start of surgery, received bilateral ultrasound-guided transversus abdominis plane block with levobupivacaine 0.25% 0.3ml/kg on each side and the control group did not receive any block. The time taken to first rescue analgesic and the VAS score at that time point were noted when Inj tramadol 50mg i.v was administered and followed by inj tramadol 50mg i.m sos for 24 hours from extubation time and 24hour analgesic requirement was noted in mg/kg. VAS at rest and on cough were noted at 2, 4, 6, 12 and 24 hours postoperatively. Results were analysed using SPSS 19.0 software and p
Book Synopsis COMPARISON OF ULTRASOUND GUIDED ERECTOR SPINAE PLANE BLOCK AND QUADRATUS LUMBORUM TYPE II BLOCK IN LAPAROSCOPIC CHOLECYSTECTOMY by : Tulgar Serkan
Download or read book COMPARISON OF ULTRASOUND GUIDED ERECTOR SPINAE PLANE BLOCK AND QUADRATUS LUMBORUM TYPE II BLOCK IN LAPAROSCOPIC CHOLECYSTECTOMY written by Tulgar Serkan and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Erector Spinae Plane Block (ESPB) is a recently described regional anesthetic technique used in upper abdominal surgeries such as laparoscopic cholecystectomy (LC). Quadratus Lumborum Block Type II (QLB2) has also been reported for postoperative analgesia in LC. Herein, we compared the effectiveness of ESPB and QLB-2 in providing postoperative analgesia in patients undergoing these surgeries.This prospective, randomized, controlled, double-blinded study included two groups ( ESPB and QLB-2) with 40 patients each (ASA 1-2-3, aged >18 years due to undergo LC under general anesthesia.) All patients underwent the same general anesthesia regimen. All blocks were performed bilaterally at the end of surgery with the application of 20 ml of local anesthetic mixture for each side. Ultrasound guided ESPB was performed in the lateral position (Th8-9) and QLB-2 in the exaggerated lateral decubitus position. Numeric rating scale, morphine consumption via patient controlled analgesia device were noted for the first 24 hours (NCT03869801).In our preliminary results, each group includes 20 patients. There was no difference between demographic data or type of surgery. There was no difference in NRS score at any hour between the groups; accept than the first hour. Morphine consumption during the first 24 hours were statistically higher in the QLB-2 group compared to ESPB group (7u00b13.60 mg and 4u00b12.25 mg, respectively- ). p:0.046While QLB-2 and ESPB have similar effect on pain scores, ESPB decrease the requirement for analgesic agents in LC when compared to a QLB-2 group.
Book Synopsis Ultrasound-Guided Regional Analgesia for Post-Cesarean Pain by : Pablo Armas Cruz
Download or read book Ultrasound-Guided Regional Analgesia for Post-Cesarean Pain written by Pablo Armas Cruz and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pain management after a surgical intervention is one of the fundamental pillars for optimal patient recovery. In obstetric patients, this management may affect the mother and the newborn. The gold standard for analgesic management is the use of intrathecal morphine due to its long-lasting effect; however, adverse effects related to the use of opioids are evidenced, whether administered intrathecally or systemically in case of contraindication to the neuraxial approach or if a long-acting opioid is not available. Cesarean sections have been associated with moderate-to-severe postoperative pain. Multimodal analgesic management seeks to minimize the undesirable effects on the mother-newborn binomial in order to increase maternal satisfaction. The most studied regional blocks for this surgery are the transversus abdominis plane block and the ilioinguinal-iliohypogastric block, which shows contradictory evidence at the time of evaluate pain where there is no significant difference compared with intrathecal morphine, but there were fewer side effects with the TAP block group when assessing pruritus, nausea, and vomiting. Quadratus lumborum and erectus spinae plane block demonstrate its usefulness with better pain management compared with TAP block regardless of them having a higher level of complexity due to the visceral pain control; but there is no evidence with methodologic quality enough that demonstrates better outcomes compared with intrathecal morphine.
Book Synopsis A Randomised Controlled Trial Examining The Analgesic Efficacy Of The Quadratus Lumborum Block Versus The Ilioinguinal/Iliohypogastric Nerve Block For Open Inguinal Herniotomy In Children (Preliminary-Report) by : Jiraporn Khorana
Download or read book A Randomised Controlled Trial Examining The Analgesic Efficacy Of The Quadratus Lumborum Block Versus The Ilioinguinal/Iliohypogastric Nerve Block For Open Inguinal Herniotomy In Children (Preliminary-Report) written by Jiraporn Khorana and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: AbstractBackground: Ilioinguinal/ iliohypogastric nerve block is a commonly performed to control post-herniotomy pain. Posterior quadratus lumborum block has been recently described as an effective postoperative analgesia after paediatric low abdominal surgery. Whilst there are no data regarding the use of posterior quadratus lumborum block in comparison with the traditional ilioinguinal/ iliohypogastric nerve block in children.Aim: This randomized assessor-blinded study compared postoperative analgesic effects between ultrasound-guided posterior quadratus lumborum block and ilioinguinal/ iliohypogastric nerve block in paediatric inguinal herniotomy.Methods: Forty children (1-7 years) scheduled for unilateral open herniotomy were randomly assigned to receive an ultrasound-guided posterior quadratus lumborum block with 0.25% bupivacaine 0.5 ml kg-1 or ultrasound-guided ilioinguinal/ iliohypogastric nerve block with 0.25% bupivacaine 0.2 ml kg-1 after induction of general anaesthesia. Postoperative analgesia in the first 24 hours consisted of as-required fentanyl in the recovery room and as-required acetaminophen at ward. Postoperative analgesic consumption, pain intensity using a Childrenu2019s Hospital of Eastern Ontario Pain Scale (CHEOPS) score, block performance data, success rate, block-related complications and parental satisfaction were assessed.Results: Both regional anesthetic techniques produced 100% success rate. Number of patients who did not require any postoperative analgesics was significantly higher in the posterior quadratus lumborum block group (79.0% VS 36.8%, P =0.020). There was a clinically but not statistically significant difference in the time to first acetaminophen requirement in the posterior quadratus lumborum block group (8.4 u00b1 4.1 VS 4.8 u00b1 2.2 hours, P =0.062). The CHEOPS scores at 30-minute and 1, 2, 6, 12, and 24-hour were similar between groups. There was no evidence of between-group differences in block performance time, number of needle passes, block related complications and parental satisfaction. Conclusions: Posterior quadratus lumborum block provided better pain control than ilioinguinal/ iliohypogastric nerve block after open herniotomy in children. The ultrasound guidance technique for the posterior quadratus lumborum block for pediatric patients is feasible and as simple as the ultrasound-guided ilioinguinal/ iliohypogastric nerve block.
Book Synopsis Acute Pain Management by : Pamela E. Macintyre
Download or read book Acute Pain Management written by Pamela E. Macintyre and published by . This book was released on 2010-01-01 with total page 491 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Acute Pain Management by : Raymond S. Sinatra
Download or read book Acute Pain Management written by Raymond S. Sinatra and published by Cambridge University Press. This book was released on 2009-04-27 with total page 729 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook provides an overview of pain management useful to specialists as well as non-specialists, surgeons, and nursing staff.
