Comparison of ultrasound guided Erector Spinae Plane Block and quadratus lumborum block for postoperative analgesia in laparoscopic cholecystectomy patients; a prospective randomized study

• Published in: Journal of clinical anesthesia 2020-06, Vol.62, p.109696-109696, Article 109696
• Main Authors: Aygun, Hakan, Kavrut Ozturk, Nilgun, Pamukcu, Aycin Sicakkan, Inal, Abdullah, Kiziloglu, Ilker, Thomas, David Terence, Tulgar, Serkan, Nart, Ahmet
• Format: Article
• Language: English
• Subjects: Abdomen; Cholecystectomy; Data collection; Laparoscopy; Morphine; Narcotics; Pain; Patients; Regional anesthesia; Studies; Ultrasonic imaging
• ISSN: 0952-8180; 1873-4529
• DOI: 10.1016/j.jclinane.2019.109696

Erector Spinae Plane Block (ESPB) is a recently described block. Both ESPB and Quadratus Lumborum block type II (QLB-II) have been reported to provide effective postoperative analgesia in patients undergoing laparoscopic cholecystectomy (LC). In this study, we compared the postoperative analgesic effects of ESPB and QLB-II in patients undergoing LC. Assessor Blinded, prospective, randomized, controlled study. Tertiary hospital, postoperative recovery room & ward. 80 patients (ASA I-II) were recruited. Patients were allocated in to two equal groups (ESB and QLB-II). All patients were included in analysis. Standard multimodal analgesia was performed in all groups. ESPB and QLB-II were performed under ultrasound guidance. Mean opioid consumptions and Numeric Rating Scores was measured during the first 24 postoperative hours. Demographic data was similar between groups. There was no difference between NRS scores and opioid consumption at any hour between the groups. While ESPB and QLB-II are not significantly different, they improve analgesia quality in patients undergoing LC. •Erector Spinae Plane Block (ESPB) is a novel regional anesthesia technique and provide effective analgesia in LC•Ultrasound guided quadrates lumborum type II block is an another useful technique in LC•The effects of ESPB and QLB is similar.