Department of Anaesthesia, Intensive Care and Pain Management, Ain Shams University, Cairo, Egypt
Research
Comparative study between auadratus lumborum block vs. transversus abdominis plane block for postoperative analgesia in patients undergoing cesarean section
Author(s): Omar Mohammed Taha Elsafty, Karim Youssef Kamal Hakim and Mohamed Mourad Ali
Background: Ultrasound (US)-guided quadratus lumborum block (QLB) and transversus abdominis plane block (TAP) are used as a part of multimodal analgesia for postoperative pain after cesarean delivery.
Methods: Prospective randomized control study.
Results: QLB group showed significantly better visual analog score (VAS) scores from 6 h till 24 h Postoperative. Time for the first request for morphine was significantly longer in the QLB group (10.47 ± 4.6 hrs) than in the TAP group (7.40± 1.5 hrs.), (p < 0.001 and its total consumption was lesser (p=0.01) in the QLB group (4.30 ± 3.4 mg) than in TAP group (6.60 ± 3.4 mg). Moreover, only 3 patients (10%) in the QLB group experienced nausea and/or vomiting vs. 10 (33.3%) in TAP group with significant value.
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