AI Article Synopsis
- A study was conducted to compare the effectiveness of ESP block (ESPB) and posterior Quadratus Lumborum Block (pQLB) for pain management after elective caesarean sections.
- Results showed no significant difference in total morphine consumption between the two groups, but ESPB had a lower need for additional morphine doses compared to pQLB.
- Overall, both techniques were found to be effective for analgesia, with no adverse events reported, suggesting ESPB could be a good alternative for pain management post-surgery.
Article Abstract
ESP block (ESPB) and posterior Quadratus Lumborum Block (pQLB) have been proposed as opioid-sparing techniques for the management of pain after abdominal surgery. Between December 2021 and October 2022, we conducted a retrospective comparative study at the delivery suite of Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy, to compare the efficacy of ESPB and pQLB in preventing postoperative pain after an elective caesarean section (CS). The primary outcome was total morphine consumption in the first 24 h. Secondary outcomes were time to first opioid request; Numerical Pain Rating Scale (NPRS) at 0, 2, 6, 12 and 24 h; vital signs; adverse events. Fifty-two women were included. The total cumulative dose of morphine was not significantly different between the two groups of patients ( = 0.897). Time to first dose of morphine, NPRS values and haemodynamic parameters were not statistically different between the two groups. NPRS values significantly increased ( < 0.001) at the different time intervals considered. The need for rescue doses of morphine was lower in the ESPB group compared to the pQLB group (hazard ratio of 0.51, 95% CI (0.27 to 0.95), = 0.030). No adverse event was reported. ESPB seems to be as effective as pQLB in providing analgesia after CS.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10744071 | PMC |
| http://dx.doi.org/10.3390/jcm12247720 | DOI Listing |
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