Single puncture combined lumbar erector spinae plane and quadratus lumborum block (SEQ block) in acetabular fracture surgeries: randomized clinical trial
Background Acetabular fracture surgery can cause severe postoperative pain. A combined lumbar erector spinae plane block and paraspinous sagittal shift quadratus lumborum block may augment analgesia. Methods Fifty two patients undergoing posterior column acetabular surgery were divided into: Group S...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2023-10-01
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| Series: | Anesthesia and Pain Medicine |
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| Online Access: | http://anesth-pain-med.org/upload/pdf/apm-23011.pdf |
| _version_ | 1797628853608251392 |
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| author | Aly Mahmoud Moustafa Ahmed Moustafa Abdelaziz Moustafa Ahmad Samir Alabd |
| author_facet | Aly Mahmoud Moustafa Ahmed Moustafa Abdelaziz Moustafa Ahmad Samir Alabd |
| author_sort | Aly Mahmoud Moustafa Ahmed |
| collection | DOAJ |
| description | Background Acetabular fracture surgery can cause severe postoperative pain. A combined lumbar erector spinae plane block and paraspinous sagittal shift quadratus lumborum block may augment analgesia. Methods Fifty two patients undergoing posterior column acetabular surgery were divided into: Group Single puncture combined lumbar Erector spinae and Quadratus lumborum block (SEQ): patients who received SEQ block before anesthesia; and Group morphine (MOR), those who received general anesthesia (GA) and morphine. Results Demographic characteristics were comparable. The heart rate and mean arterial blood pressure were significantly lower in the SEQ group than in the MOR group between 60 and 180 min intraoperatively (P < 0.001). Postoperative resting and dynamic visual analogue scale scores in the SEQ group were significantly lower than those in the MOR group at all studied periods (P = 0.022–0.001), except at 20 and 24 h postoperatively. Fentanyl was required in all MOR group patients at a mean dose of 110.0 ± 28.42 µg while 18 patients required fentanyl in SEQ group at a mean dose of 60.55 ± 25.54 µg. Postoperative morphine consumption was significantly less in SEQ group (6.33 ± 2.37 mg) than MOR group (17.0 ± 2.55 mg). Postoperative nausea and vomiting were recorded in eight and four patients in MOR and SEQ group, respectively. No complications associated with the block technique were observed. Conclusions The SEQ block reduces the postoperative opioid consumption and provides stable intra and postoperative hemodynamics without observed complications in posterior column acetabular surgery. |
| first_indexed | 2024-03-11T10:45:03Z |
| format | Article |
| id | doaj.art-81b4958f91b1422190e60601beb60446 |
| institution | Directory Open Access Journal |
| issn | 1975-5171 2383-7977 |
| language | English |
| last_indexed | 2024-03-11T10:45:03Z |
| publishDate | 2023-10-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Anesthesia and Pain Medicine |
| spelling | doaj.art-81b4958f91b1422190e60601beb604462023-11-14T06:02:59ZengKorean Society of AnesthesiologistsAnesthesia and Pain Medicine1975-51712383-79772023-10-0118439740510.17085/apm.230111206Single puncture combined lumbar erector spinae plane and quadratus lumborum block (SEQ block) in acetabular fracture surgeries: randomized clinical trialAly Mahmoud Moustafa Ahmed0Moustafa Abdelaziz MoustafaAhmad Samir Alabd1 Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Alexandria University, Alexandria, Egypt Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Alexandria University, Alexandria, EgyptBackground Acetabular fracture surgery can cause severe postoperative pain. A combined lumbar erector spinae plane block and paraspinous sagittal shift quadratus lumborum block may augment analgesia. Methods Fifty two patients undergoing posterior column acetabular surgery were divided into: Group Single puncture combined lumbar Erector spinae and Quadratus lumborum block (SEQ): patients who received SEQ block before anesthesia; and Group morphine (MOR), those who received general anesthesia (GA) and morphine. Results Demographic characteristics were comparable. The heart rate and mean arterial blood pressure were significantly lower in the SEQ group than in the MOR group between 60 and 180 min intraoperatively (P < 0.001). Postoperative resting and dynamic visual analogue scale scores in the SEQ group were significantly lower than those in the MOR group at all studied periods (P = 0.022–0.001), except at 20 and 24 h postoperatively. Fentanyl was required in all MOR group patients at a mean dose of 110.0 ± 28.42 µg while 18 patients required fentanyl in SEQ group at a mean dose of 60.55 ± 25.54 µg. Postoperative morphine consumption was significantly less in SEQ group (6.33 ± 2.37 mg) than MOR group (17.0 ± 2.55 mg). Postoperative nausea and vomiting were recorded in eight and four patients in MOR and SEQ group, respectively. No complications associated with the block technique were observed. Conclusions The SEQ block reduces the postoperative opioid consumption and provides stable intra and postoperative hemodynamics without observed complications in posterior column acetabular surgery.http://anesth-pain-med.org/upload/pdf/apm-23011.pdfacetabular fractureacetabular surgeryanesthesia, localerector spinae plane blocknerve blockpostoperative painquadratus lumborum block |
| spellingShingle | Aly Mahmoud Moustafa Ahmed Moustafa Abdelaziz Moustafa Ahmad Samir Alabd Single puncture combined lumbar erector spinae plane and quadratus lumborum block (SEQ block) in acetabular fracture surgeries: randomized clinical trial Anesthesia and Pain Medicine acetabular fracture acetabular surgery anesthesia, local erector spinae plane block nerve block postoperative pain quadratus lumborum block |
| title | Single puncture combined lumbar erector spinae plane and quadratus lumborum block (SEQ block) in acetabular fracture surgeries: randomized clinical trial |
| title_full | Single puncture combined lumbar erector spinae plane and quadratus lumborum block (SEQ block) in acetabular fracture surgeries: randomized clinical trial |
| title_fullStr | Single puncture combined lumbar erector spinae plane and quadratus lumborum block (SEQ block) in acetabular fracture surgeries: randomized clinical trial |
| title_full_unstemmed | Single puncture combined lumbar erector spinae plane and quadratus lumborum block (SEQ block) in acetabular fracture surgeries: randomized clinical trial |
| title_short | Single puncture combined lumbar erector spinae plane and quadratus lumborum block (SEQ block) in acetabular fracture surgeries: randomized clinical trial |
| title_sort | single puncture combined lumbar erector spinae plane and quadratus lumborum block seq block in acetabular fracture surgeries randomized clinical trial |
| topic | acetabular fracture acetabular surgery anesthesia, local erector spinae plane block nerve block postoperative pain quadratus lumborum block |
| url | http://anesth-pain-med.org/upload/pdf/apm-23011.pdf |
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