Highlights
- •Quadratus lumborum type-II and erector spinae plane block provide effective analgesia post-caesarean.
- •A randomised controlled trial comparing these two blocks.
- •There was no significant difference in fentanyl consumption between the blocks.
Abstract
Background
Quadratus lumborum and erector spinae plane blocks have been used to provide analgesia
in patients undergoing thoracic or abdominal surgeries. Our study compared the analgesic
efficacy of the quadratus lumborum type-II block (QLB-II) and the erector spinae plane
block (ESPB) in parturients who underwent caesarean section under spinal anaesthesia.
Methods
Fifty-two patients with comparable demographic profiles were randomised into two groups,
QLB-II (n = 26) and ESPB (n = 26). After the surgery, patients received either ultrasound-guided
QLB-II or ESPB using 0.25% bupivacaine 0.3 mL/kg. Comparison of analgesic efficacy
was in terms of fentanyl consumption (primary outcome), pain scores, incidence of
complications in the 24-h postoperative period, and quality of recovery (QoR-15) on
postoperative days one and two, and day of discharge.
Results
There was no significant difference in cumulative number of fentanyl doses (W = 349.000,
P = 0.840), numerical rating score at rest (P = 0.648) or with movement (P = 0.520), QoR-15 scores on postoperative day one (P = 0.549), day two (P = 0.927) or day of discharge (P = 0.676).
Conclusion
We concluded that patients who underwent QLB-II or ESPB reported similar analgesic
efficacy, complications, and quality of recovery in the postoperative period.
Keywords
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Article info
Publication history
Published online: December 06, 2022
Accepted:
November 29,
2022
Identification
Copyright
© 2022 Elsevier Ltd. All rights reserved.
