Analgesic Efficacy of Transverse Abdominis Plane Block and Quadratus Lumborum Block in Laparoscopic Sleeve Gastrectomy: A Randomized Double-Blinded Clinical Trial.
Laparoscopic sleeve gastrectomy
Obesity
Postoperative pain
Quadratus lumbar nerve block
Transversus abdominis plane block
Journal
Pain and therapy
ISSN: 2193-8237
Titre abrégé: Pain Ther
Pays: New Zealand
ID NLM: 101634491
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
04
02
2022
accepted:
07
03
2022
pubmed:
22
3
2022
medline:
22
3
2022
entrez:
21
3
2022
Statut:
ppublish
Résumé
The analgesic effect and safety of transversus abdominis plane block (TAPB) is still controversial in various abdominal procedures. Quadratus lumborum block (QLB) has been considered to provide a widespread and long-lasting analgesic effect in gynecological surgeries. However, the analgesic effects of these two techniques in patients with extreme obesity undergoing laparoscopic sleeve gastrectomy (LSG) are still unknown. A total of 225 patients with obesity were randomly assigned to group TAPB (n = 76, 30 ml 0.33% ropivacaine with dexmedetomidine 1 μg kg Comparing with patients in the GA group, VAS scores of incision and viscera were consistently reduced during the initial 6-12 h after LSG in TAPB and QLB groups, and they received less propofol and remifentanil (P < 0.001) as well. In the QLB group, patients had longer duration for the first rescue analgesia, and fewer requirements of the rescue analgesia within 24 h than the GA group (P < 0.05). In addition, there were fewer PCA requirements in QLB group than GA and TAPB groups (P < 0.05). Ultrasound-guided transversus abdominis plane block and quadratus lumborum block could provide comparable analgesic effects for a laparoscopic sleeve gastrectomy in obese patients. Chinese Clinical Trial Registry; ChiCTR1800019236.
Identifiants
pubmed: 35312948
doi: 10.1007/s40122-022-00373-1
pii: 10.1007/s40122-022-00373-1
pmc: PMC9098772
doi:
Types de publication
Journal Article
Langues
eng
Pagination
613-626Subventions
Organisme : National Natural Science Foundation of China
ID : 81801050
Organisme : Anhui Medical University
ID : 2019xkjT026
Informations de copyright
© 2022. The Author(s).
Références
J Clin Anesth. 2016 Nov;34:72-8
pubmed: 27687350
J Clin Anesth. 2017 Jun;39:146-151
pubmed: 28494892
Anaesthesia. 2021 Mar;76(3):393-403
pubmed: 32621529
Anaesthesia. 2011 Nov;66(11):1023-30
pubmed: 21851346
J Pain Res. 2013 Nov 27;6:837-41
pubmed: 24348067
Br J Anaesth. 2016 Sep;117(3):387-94
pubmed: 27543534
Pain. 2021 Jun 1;162(6):1800-1805
pubmed: 33433147
Exp Ther Med. 2018 Aug;16(2):1131-1136
pubmed: 30116363
Int J Surg. 2020 Jul;79:196-201
pubmed: 32502705
Br J Anaesth. 2008 Dec;101(6):832-40
pubmed: 18945716
J Anesth. 2022 Apr;36(2):254-264
pubmed: 35064819
Anesth Analg. 2008 Jul;107(1):138-43
pubmed: 18635479
J Clin Anesth. 2019 Aug;55:5-6
pubmed: 30579839
Lancet Gastroenterol Hepatol. 2021 Mar;6(3):238-251
pubmed: 33581762
Anaesthesia. 2021 Jan;76(1):101-117
pubmed: 32385856
Anesthesiology. 2012 Jun;116(6):1312-22
pubmed: 22546966
Reg Anesth Pain Med. 2016 Mar-Apr;41(2):146-50
pubmed: 26735154
Br J Anaesth. 2016 Dec;117(6):812-820
pubmed: 27956680
Reg Anesth Pain Med. 2021 Jan;46(1):35-40
pubmed: 33159007
Obes Surg. 2013 Aug;23(8):1309-14
pubmed: 23591549
Int J Clin Pract. 2021 Oct;75(10):e14513
pubmed: 34117829
Surg Obes Relat Dis. 2017 Aug;13(8):1434-1446
pubmed: 28396128
Obes Surg. 2014 Apr;24(4):652-9
pubmed: 24431032
J Clin Anesth. 2020 Jun;62:109716
pubmed: 32000070
Cochrane Database Syst Rev. 2014 Jul 31;(7):CD009583
pubmed: 25079857
Reg Anesth Pain Med. 2018 May;43(4):372-377
pubmed: 29389680
Front Pharmacol. 2019 Jun 14;10:626
pubmed: 31258474
Anesth Analg. 2018 Feb;126(2):559-565
pubmed: 29135590
Reg Anesth Pain Med. 2020 Mar;45(3):180-186
pubmed: 31932488
Lancet. 2016 Aug 20;388(10046):776-86
pubmed: 27423262
J Clin Anesth. 2017 Feb;37:103-107
pubmed: 28235493
Gastroenterol Hepatol (N Y). 2010 Dec;6(12):780-92
pubmed: 21301632
Anesth Analg. 2003 Aug;97(2):534-540
pubmed: 12873949
Pain Med. 2022 May 30;23(6):1047-1058
pubmed: 34983054
Surg Endosc. 2018 Dec;32(12):4985-4989
pubmed: 29869078
Reg Anesth Pain Med. 2017 Mar/Apr;42(2):133-183
pubmed: 28085788
Anesthesiology. 2010 Mar;112(3):688-95
pubmed: 20179507
Reg Anesth Pain Med. 2017 Sep/Oct;42(5):674-679
pubmed: 28759502
Anesthesiology. 2019 Nov;131(5):1166-1190
pubmed: 31283738
Obes Surg. 2013 Apr;23(4):548-53
pubmed: 23361468