Ultrasound Guided Quadratus Lumborum Block In Cirrhotic Patients Undergoing Major Abdominal Surgery (Randomized Control Trial)

Authors

Eman Sayed Ibrahim, Department of Anaesthesia and ICU, Liver Institute, Menoufia University -Shebeen Elkom (Egypt).Follow
Zeinab Fathy Elsayed Abdelaty, Department of Anaesthesia and ICU, Liver Institute, Menoufia University -Shebeen Elkom (Egypt).
Mamdouh Elsayed Lotfy, Department of Anaesthesia and ICU, Faculty of medicine Menoufia University -Shebeen Elkom (Egypt
Hanaa Saeed Abdelhafez, Department of Anaesthesia and ICU, Liver Institute, Menoufia University -Shebeen Elkom (Egypt)
Wesam Eldin Abdelrahman Sultan, Department of Anaesthesia and ICU, Faculty of medicine Menoufia University -Shebeen Elkom (Egypt)

Subject Area

Anesthesiology

Article Type

Original Study

Abstract

Objectives: to assess the effect of ultrasound-guided bilateral continuous anterior QLB on alleviating pain and fentanyl consumption in cirrhotic patients who undergoing major abdominal surgery. Methods: 60 cirrhotic patients undergoing major abdominal surgery were involved in this double blinded randomized control study. In group B bilateral anterior QLB with (0.4ml/kg) bupivacaine 0.25% in each space between QL and psoas major muscle then continuous infusion of bupivacaine 0.25% at dose 10ml/hr. In group S bilateral anterior QLB with equal volume of 0.9 saline in the same plane. Hemodynamics, intra and postoperative analgesic consumption, VAS score, incidence of nausea and vomiting, respiratory complications were recorded. Results: The mean fentanyl consumption intra and 12 hours postoperative in group B and group C were (337.93± 135.39 and 312±170.36 VS. 518.33 ±121.40 and 582.00 ±141.16 microgram p

Recommended Citation

Ibrahim, Eman Sayed; Abdelaty, Zeinab Fathy Elsayed; Lotfy, Mamdouh Elsayed; Abdelhafez, Hanaa Saeed; and Sultan, Wesam Eldin Abdelrahman (2023) "Ultrasound Guided Quadratus Lumborum Block In Cirrhotic Patients Undergoing Major Abdominal Surgery (Randomized Control Trial)," Menoufia Medical Journal: Vol. 36: Iss. 3, Article 8.
DOI: https://doi.org/10.59204/2314-6788.1034