Document Type : Original Article
Authors
1
Department of Anesthesia, Intensive Care, and Pain Management, Faculty of Medicine, Port Said University, Port Said, Egypt.
2
Department of Anesthesia and Intensive Care, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
3
3 Department of Anesthesia, Intensive Care, and Pain Management, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
4
Department of Anesthesia and Critical Care, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
5
5 Department of General, gastrointestinal and Hepatobiliary Surgery Faculty of Medicine, Delta University for Science and Technology, Gamasa, Egypt.
Abstract
Background: Laparoscopic sleeve gastrectomy is a very frequent surgical procedure with notable postoperative pain and discomfort. Both QLB and ESPB techniques have somatic and visceral analgesia. These interventions could be integrated into a multimodal analgesia strategy in sleeve gastrectomy surgeries.
Objective: This study aimed to assess the postoperative analgesic efficacy of quadratus Lumborum block against erector spinae plane block in sleeve gastrectomy operations.
Patients and Methods: This randomized prospective experiment had 92 people who were randomly assigned to have elective sleeve gastrectomy. They were randomly assigned to two groups of equivalent sizes [46 patients in each]. The initial group received QLB. The second group received ESPB.
Results: The findings revealed no statistically significant difference in postoperative morphine consumption over a 24-hour period between the two groups [5.35 ± 2.19 mg in QLB versus 5.48 ± 2.17 mg in ESPB, p = 0.775], as well as in postoperative VAS scores and the timing of the initial request for rescue analgesia. Both techniques alleviated the stress response during trocar insertion and abdominal insufflation.
Conclusion: The Quadratus Lumborum block [QLB] and Erector Spinae Plane block [ESPB] can be employed to reduce postoperative pain in sleeve gastrectomy surgeries, as they efficiently address both somatic and visceral pain components.
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