KLI

Ultrasound-Guided Anterior Quadratus Lumborum Block Reduces Postoperative Opioid Consumption and Related Side Effects in Patients Undergoing Total Hip Replacement Arthroplasty: A Propensity Score-Matched Cohort Study

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Abstract
Quadratus lumborum block (QLB) has been shown to be effective for pain relief after hip surgery. This study evaluated the efficacy of ultrasound-guided anterior QLB in pain control after total replacement hip arthroplasty (TRHA). A total of 115 patients receiving anterior QLB were propensity score-matched with 115 patients who did not receive the block. The primary outcome was opioid consumption at 24, 24-48, and 48 postoperative hours. Secondary outcomes included pain scores at the post-anesthesia care unit (PACU), 8, 16, 24, 32, 40, and 48 h length of hospital stay, time to first ambulation, and the incidence of opioid-related side effects. Postoperative opioid consumption 48 h after surgery was significantly lower in the QLB group. Resting, mean, worst, and the difference of resting pain scores compared with preoperative values were significantly lower in the QLB group during the 48 postoperative hours. The length of hospital stay was shorter in the QLB group. The incidence of postoperative nausea and vomiting was significantly lower in the QLB group during the 48 postoperative hours, except at the PACU. This study suggests that anterior QLB provides effective postoperative analgesia for patients undergoing THRA performed using the posterolateral approach.
Author(s)
고원욱김연주김하정김형태노영진박지인윤필환이선형
Issued Date
2021
Type
Article
Keyword
painquadratus lumborum blocktotal hip arthroplastyultrasound-guided
DOI
10.3390/jcm10204632
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8502
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_doaj_primary_oai_doaj_org_article_bf1cb6e80eed4804ac75549cb0e15f81&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Ultrasound-Guided%20Anterior%20Quadratus%20Lumborum%20Block%20Reduces%20Postoperative%20Opioid%20Consumption%20and%20Related%20Side%20Effects%20in%20Patients%20Undergoing%20Total%20Hip%20Replacement%20Arthroplasty:%20A%20Propensity%20Score-Matched%20Cohort%20Study&offset=0&pcAvailability=true
Publisher
JOURNAL OF CLINICAL MEDICINE
Location
스위스
Language
영어
ISSN
2077-0383
Citation Volume
10
Citation Start Page
0
Citation End Page
0
Appears in Collections:
Medicine > Medicine
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