scholarly journals 3 - CONTINUOUS TRANSMUSCULAR QUADRATUS LUMBORUM BLOCK AND FEMORAL NERVE BLOCK FOR TOTAL HIP ARTHROPLASTY: A RANDOMIZED CONTROLLED COMPARATIVE STUDY

2019 ◽  
Author(s):  
Yuki Aoyama ◽  
Shinichi Sakura ◽  
Shoko Abe ◽  
Erika Itoi ◽  
Saki Tadenuma ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Comparative Study ◽  
Nerve Block ◽  
Hip Arthroplasty ◽  
Femoral Nerve Block ◽  
Femoral Nerve ◽  
Total Hip ◽  
Randomized Controlled ◽  
Quadratus Lumborum Block ◽  
Quadratus Lumborum

scholarly journals Anterior quadratus lumborum block for postoperative recovery after total hip arthroplasty: a study protocol for a single-center, double-blind, randomized controlled trial

2019 ◽  
Author(s):  
Masaru Kikuchi ◽  
Takahiro Mihara ◽  
Yusuke Mizuno ◽  
Hiroko Fujimoto ◽  
Sachiko Arai ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Lower Limb ◽  
Controlled Trial ◽  
Postoperative Recovery ◽  
Double Blind ◽  
Total Hip ◽  
Randomized Controlled ◽  
Quadratus Lumborum Block ◽  
Quadratus Lumborum

Abstract Background: Appropriate pain management is essential to improve the postoperative recovery after total hip arthroplasty (THA). Various case reports have indicated that anterior quadratus lumborum block (QLB) provides effective postoperative analgesia in lower limb surgeries. However, there are few randomized controlled trials that have confirmed the efficacy of anterior QLB for lower limb surgeries. The aim of this single-center, double-blind, randomized controlled trial is to confirm the efficacy of anterior QLB for postoperative recovery after THA. Methods: The participants will be randomly assigned to either the anterior QLB group or the placebo group. After induction of general anesthesia, anterior QLB will be performed using 0.25% levobupivacaine or normal saline. Fentanyl will be administered according to blood pressure change during the surgery. The primary outcome will be the quality of recovery 40 score (QoR-40). Secondary outcomes will include the visual analog scale (VAS) score of pain intensity at rest and movement, intraoperative and postoperative doses of fentanyl, and incidence of postoperative nausea and vomiting. Statistical analysis will be performed using the Student’s t-test, Mann–Whitney U-test, and Fisher’s exact test as appropriate. A p < 0.05 will be considered statistically significant. Discussion: The results of our study will reveal whether anterior QLB is effective for postoperative recovery after THA. Trial registration: UMIN Clinical Trials Registry, UMIN000032255. Registered on 15 April 2018. Keywords: anterior quadratus lumborum block, hip osteoarthritis, peripheral nerve block, postoperative pain, regional anesthesia, total hip arthroplasty

scholarly journals 3 - ULTRASOUND GUIDED SUPRA-INGUINAL FEMORAL NERVE BLOCK FOR TOTAL HIP ARTHROPLASTY

2019 ◽  
Author(s):  
Maria Paz Sebastian ◽  
Alex Sell ◽  
Sean Nadaraja ◽  
Dan Mihaylov ◽  
Sanj Shanmuganathan ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Nerve Block ◽  
Hip Arthroplasty ◽  
Femoral Nerve Block ◽  
Femoral Nerve ◽  
Ultrasound Guided ◽  
Total Hip

scholarly journals Postoperative Pain Treatment with Transmuscular Quadratus Lumborum Block and Fascia Iliaca Compartment Block in Patients Undergoing Total Hip Arthroplasty: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Qin Xia ◽  
Wenping Ding ◽  
Chao Lin ◽  
Jiayi Xia ◽  
Yahui Xu ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Total Hip Arthroplasty ◽  
Elderly Patients ◽  
Hip Arthroplasty ◽  
Controlled Study ◽  
Total Hip ◽  
Randomized Controlled ◽  
Quadratus Lumborum Block ◽  
Quadratus Lumborum ◽  
Fascia Iliaca Compartment Block

Abstract Background: Patients after total hip arthroplasty (THA) often suffered moderate or even severe pain, seriously affecting the early postoperative recovery. This study aimed to investigate the analgesic efficacy of ultrasound-guided transmuscular quadratus lumborum block (T-QLB) combined with fascia iliaca compartment block (FICB) for elderly patients undergoing THA.Methods: Sixty-four patients scheduled for THA were included in this randomized controlled study. The patients were divided into two groups: group Q and group QF. Before anesthesia induction, group Q was injected with 0.375% ropivacaine 40ml. In the QF group, T-QLB combined with FICB was injected with 0.375% ropivacaine 20ml, respectively. Paracetamol 1g regularly at 6 h intervals and patient-controlled intravenous analgesia (PCIA) were administrated in both groups postoperatively. The primary outcome was cumulative sufentanil consumption via PCIA on postoperative 24 h. The secondary outcomes included pain degree, time to the first analgesic requirement, range of motion, quality of recovery, and the incidence of postoperative complications.Results: Compared with the group Q, the cumulative sufentanil consumption were significantly lower in group QF at 6-12, 12-18, 18-24, and 24h (49.29±16.76 vs. 31.42±18.81μg, P <0.001) after surgery. The postoperative pain intensity was lower in group QF at rest after 6, 12, and 24 h (P <0.05) and at activity after 6, 12, 18, and 24 h (P <0.05). Group QF had higher Qor-15 scores at postoperative 24 h and 48 h (P <0.001) and longer duration before the first opioid require via PCIA (P <0.001) postoperatively than group Q. There was no statistically significant difference between the two groups for complications postoperatively of elderly.Conclusions: Our study provides a multimodal, opioid-sparing analgesic regimen for elderly patients in THA. The combination of T-QLB and FICB provides a significant advantage for early postoperative functional recovery. Further studies are required to confirm the minimum effective dose.Trial registration: Chinese Clinical Trial Registry(ChiCTR2000038686).

scholarly journals Anterior quadratus lumborum block for postoperative recovery after total hip arthroplasty: a study protocol for a single-center, double-blind, randomized controlled trial

2020 ◽  
Author(s):  
Masaru Kikuchi ◽  
Takahiro Mihara ◽  
Yusuke Mizuno ◽  
Hiroko Fujimoto ◽  
Sachiko Arai ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Lower Limb ◽  
Controlled Trial ◽  
Postoperative Recovery ◽  
Double Blind ◽  
Total Hip ◽  
Randomized Controlled ◽  
Quadratus Lumborum Block ◽  
Quadratus Lumborum

Abstract Background: Appropriate pain management is essential to improve the postoperative recovery after total hip arthroplasty (THA). Various case reports have indicated that anterior quadratus lumborum block (QLB) provides effective postoperative analgesia in lower limb surgeries. However, there are few randomized controlled trials that have confirmed the efficacy of anterior QLB for lower limb surgeries. The aim of this single-center, double-blind, randomized controlled trial is to confirm the efficacy of anterior QLB for postoperative recovery after THA. Methods: The participants will be randomized to either the anterior QLB or placebo groups, using a set of random numbers for the allocation sequence. Only pharmacists will be aware of the allocations; other investigators will be blinded until study completion. After induction of general anesthesia, anterior QLB will be performed using 0.25% levobupivacaine or normal saline. Fentanyl will be administered according to blood pressure change during the surgery. The primary outcome will be the quality of recovery 40 score (QoR-40). Secondary outcomes will include the visual analog scale (VAS) score of pain intensity at rest and movement, intraoperative and postoperative doses of fentanyl, and incidence of postoperative nausea and vomiting. Statistical analysis will be performed using the Student’s t-test, Mann–Whitney U-test, and Fisher’s exact test as appropriate. A p < 0.05 will be considered statistically significant. Discussion: The results of our study will reveal whether anterior QLB is effective for postoperative recovery after THA. Trial registration: UMIN Clinical Trials Registry, UMIN000032255. Registered on 15 April 2018. Keywords: anterior quadratus lumborum block, hip osteoarthritis, peripheral nerve block, postoperative pain, regional anesthesia, total hip arthroplasty

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