Effects of anterior quadratus lumborum block versus erector spinae plane block on postoperative acute pain in percutaneous nephrolithotomy: a prospective, observational study

The study aimed to compare the pain-relieving effectiveness of anterior quadratus lumborum block (QLB3) and erector spinae plane block (ESPB), both of which have been documented to provide relief during abdominal surgery. This prospective observational study, conducted between February and July 2023...

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Bibliographic Details
Published in:BMC anesthesiology 2024-09, Vol.24 (1), p.322-10, Article 322
Main Authors: Turkan, Huseyin, Kaya, Cengiz, Turunc, Esra, Dost, Burhan, Ustun, Yasemin Burcu
Format: Article
Language:English
Subjects:
Abdominal Muscles - innervation
Acute Pain - prevention & control
Acute postoperative pain
Adult
Aged
Analgesia
Analgesics
Analgesics, Opioid - administration & dosage
Anesthetics
Bupivacaine
Care and treatment
Erector Spinae plane block
Female
Humans
Male
Medical personnel
Middle Aged
Morphine
Morphine - administration & dosage
Nausea
Nephrolithotomy, Percutaneous - methods
Nerve block
Nerve Block - methods
Observational studies
Pain
Pain perception
Pain, Postoperative - prevention & control
Paraspinal Muscles
Patients
Percutaneous nephrolithotomy
Prospective Studies
Quadratus lumborum block
Regional anesthesia
Remifentanil
Ultrasonic imaging
Ultrasonography
Ultrasound imaging
Urological surgery
Vertebrae
Vomiting
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Summary:The study aimed to compare the pain-relieving effectiveness of anterior quadratus lumborum block (QLB3) and erector spinae plane block (ESPB), both of which have been documented to provide relief during abdominal surgery. This prospective observational study, conducted between February and July 2023, included 96 patients who had undergone percutaneous nephrolithotomy (PCNL). Patients were divided into three groups: QLB3, ESPB, and control (no block) and received the corresponding nerve block in the preanesthetic room for regional block. Cumulative morphine consumption during the initial 24 h after PCNL, numerical rating scale resting/movement scores, intraoperative remifentanil usage, rescue analgesic requirements, time when the first analgesic was requested, and postoperative nausea and vomiting scores were documented and compared between the groups. Total median morphine consumption in the first 24 h postoperatively was similar in the QLB3 and ESPB groups but higher in the control group (QLB3, 7 mg [(Q1-Q3) 7-8.5]; ESPB, 8 mg [6.5-9]; control, 12.5 [10-17]; P 
ISSN:1471-2253
1471-2253
DOI:10.1186/s12871-024-02691-7