Effect of Ultrasound-guided Transmuscular Quadratus Lumborum Block for Postoperative Analgesia in Pediatric Patient Undergoing Hip Surgery

Yunli YANG; Na LI; Changming QIU; Junjie PU; Wei NIE; Zhigui LI

doi:10.12259/j.issn.2095-610X.S20230426

Volume 44 Issue 4

Apr. 2023

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Article Navigation > Journal of Kunming Medical University > 2023 > 44(4): 88-92

Yunli YANG, Na LI, Changming QIU, Junjie PU, Wei NIE, Zhigui LI. Effect of Ultrasound-guided Transmuscular Quadratus Lumborum Block for Postoperative Analgesia in Pediatric Patient Undergoing Hip Surgery[J]. Journal of Kunming Medical University, 2023, 44(4): 88-92. doi: 10.12259/j.issn.2095-610X.S20230426

Citation:

Yunli YANG, Na LI, Changming QIU, Junjie PU, Wei NIE, Zhigui LI. Effect of Ultrasound-guided Transmuscular Quadratus Lumborum Block for Postoperative Analgesia in Pediatric Patient Undergoing Hip Surgery[J]. Journal of Kunming Medical University, 2023, 44(4): 88-92. doi: 10.12259/j.issn.2095-610X.S20230426

Citation:

Yunli YANG, Na LI, Changming QIU, Junjie PU, Wei NIE, Zhigui LI. Effect of Ultrasound-guided Transmuscular Quadratus Lumborum Block for Postoperative Analgesia in Pediatric Patient Undergoing Hip Surgery[J]. Journal of Kunming Medical University, 2023, 44(4): 88-92. doi: 10.12259/j.issn.2095-610X.S20230426

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Effect of Ultrasound-guided Transmuscular Quadratus Lumborum Block for Postoperative Analgesia in Pediatric Patient Undergoing Hip Surgery

doi: 10.12259/j.issn.2095-610X.S20230426

Dept. of Anesthesiology，920 Hospital of Joint Logistics Support Force，PLA， Kunming Yunnan 650032，China

Received Date: 2023-01-07
Available Online: 2023-04-13
Publish Date: 2023-04-25

Abstract

Abstract

Objective To evaluate the analgesic effect of ultrasound-guided transmuscular quadratus lumborum block in pediatric patients for hip surgery. Methods 60 children with elective hip operation, aged 1-3 years, ASAⅠ～Ⅱ, were randomly divided into 2 groups after anesthesia induction tracheal intubation. The patients of TQL group （n = 30） received ultrasound-guided transmuscular quadratus lumborum block, while the patients of group C （n = 30） did not receive TQL block. The primary outcome was the number of patients who require rescue analgesia in the first 24 h. The secondary outcome were the FLACC pain scale, heart rate, and blood pressure at 1 h, 4 h, 6 h, 12 h and 24 h postoperatively, and postoperative adverse event （e.g., local hematoma, and organ injuries）. Results 24 h after surgery, the need for rescue analgesia was statistically significantly higher in group C when compared to the TQL group [21/30 （70%） vs 5/30 （16.7%）, P < 0.001]. The FLACC score, heart rate, and blood pressure were lower in the TQL group than the C group at various points during 24 h postoperatively （P < 0.05）. No postoperative adverse event occurred in the TQL group. Conclusion Ultrasound-guided quadratus lumborum block reduces pain scores and analgesic needs following hip surgery in pediatric patients.
- Pediatric patient,
- Ultrasound-guided,
- Transmuscular quadratus lumborum block,
- Postoperative pain,
- Hip surgery

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References(23)

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