Efficacy of Quadratus Lumborum Block in Children with Laparoscopic-Assisted Pyeloplasty

Objective: The quadratus lumborum block (QLB) is a new and effective truncal block used for postoperative analgesia in patients undergoing upper and lower abdominal surgeries. We aimed to evaluate and compare the efficacy of QLB and wound infiltration (WI) using postoperative Face, Legs, Activity, C...

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Main Authors: Gözen Öksüz, Ahmet Burak Doğan
Format: Article
Language:English
Published: KARE Publishing 2019-03-01
Series:Erciyes Medical Journal
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=erciyesmedj&un=EMJ-03064
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author Gözen Öksüz
Ahmet Burak Doğan
author_facet Gözen Öksüz
Ahmet Burak Doğan
author_sort Gözen Öksüz
collection DOAJ
description Objective: The quadratus lumborum block (QLB) is a new and effective truncal block used for postoperative analgesia in patients undergoing upper and lower abdominal surgeries. We aimed to evaluate and compare the efficacy of QLB and wound infiltration (WI) using postoperative Face, Legs, Activity, Cry, and Consolability (FLACC) pain scores and total 24-h analgesic consumption in pediatric patients who underwent laparoscopic-assisted pyeloplasty (LAP). Materials and Methods: Patients who underwent LAP between May 2016 and June 2017 were retrospectively examined and were divided into two groups: QLB group and WI group. Patients' FLACC scores at 1, 6, 12, and 24 h; postoperative analgesic doses; and complications were evaluated from patient's records. Results: A total of 31 patients who underwent LAP were identified from the records. Of them, 14 had QLB and 17 had WI. Demographic characteristics of patients and operation duration were similar between the two groups. FLACC scores at 1, 6, 12, and 24 h and postoperative total 24-h paracetamol consumption were significantly lower in the QLB group. No complications were seen in both groups. Conclusion: According to the present study results, QLB provides a longer and more effective postoperative analgesia than WI in pediatric patients who have undergone LAP.
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spelling doaj.art-186aa1a1cb9342b8a4eaf6d98dba5ca52023-02-15T16:13:09ZengKARE PublishingErciyes Medical Journal2149-22472019-03-01411777910.14744/etd.2018.18158EMJ-03064Efficacy of Quadratus Lumborum Block in Children with Laparoscopic-Assisted PyeloplastyGözen Öksüz0Ahmet Burak Doğan1Department of Anesthesia, Sütçü İmam University Faculty of Medicine, Kahramanmaraş, TurkeyDepartment of Pediatric Surgery, Sütçü İmam University Faculty of Medicine, Kahramanmaraş, TurkeyObjective: The quadratus lumborum block (QLB) is a new and effective truncal block used for postoperative analgesia in patients undergoing upper and lower abdominal surgeries. We aimed to evaluate and compare the efficacy of QLB and wound infiltration (WI) using postoperative Face, Legs, Activity, Cry, and Consolability (FLACC) pain scores and total 24-h analgesic consumption in pediatric patients who underwent laparoscopic-assisted pyeloplasty (LAP). Materials and Methods: Patients who underwent LAP between May 2016 and June 2017 were retrospectively examined and were divided into two groups: QLB group and WI group. Patients' FLACC scores at 1, 6, 12, and 24 h; postoperative analgesic doses; and complications were evaluated from patient's records. Results: A total of 31 patients who underwent LAP were identified from the records. Of them, 14 had QLB and 17 had WI. Demographic characteristics of patients and operation duration were similar between the two groups. FLACC scores at 1, 6, 12, and 24 h and postoperative total 24-h paracetamol consumption were significantly lower in the QLB group. No complications were seen in both groups. Conclusion: According to the present study results, QLB provides a longer and more effective postoperative analgesia than WI in pediatric patients who have undergone LAP.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=erciyesmedj&un=EMJ-03064quadratus lumborum blocklaparoscopic-assisted pyeloplastypostoperative pain managementchildren
spellingShingle Gözen Öksüz
Ahmet Burak Doğan
Efficacy of Quadratus Lumborum Block in Children with Laparoscopic-Assisted Pyeloplasty
Erciyes Medical Journal
quadratus lumborum block
laparoscopic-assisted pyeloplasty
postoperative pain management
children
title Efficacy of Quadratus Lumborum Block in Children with Laparoscopic-Assisted Pyeloplasty
title_full Efficacy of Quadratus Lumborum Block in Children with Laparoscopic-Assisted Pyeloplasty
title_fullStr Efficacy of Quadratus Lumborum Block in Children with Laparoscopic-Assisted Pyeloplasty
title_full_unstemmed Efficacy of Quadratus Lumborum Block in Children with Laparoscopic-Assisted Pyeloplasty
title_short Efficacy of Quadratus Lumborum Block in Children with Laparoscopic-Assisted Pyeloplasty
title_sort efficacy of quadratus lumborum block in children with laparoscopic assisted pyeloplasty
topic quadratus lumborum block
laparoscopic-assisted pyeloplasty
postoperative pain management
children
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=erciyesmedj&un=EMJ-03064
work_keys_str_mv AT gozenoksuz efficacyofquadratuslumborumblockinchildrenwithlaparoscopicassistedpyeloplasty
AT ahmetburakdogan efficacyofquadratuslumborumblockinchildrenwithlaparoscopicassistedpyeloplasty