Perioperative Analgesic Efficiency of Ultrasound-Guided Quadratus Lumborum Block versus Epidural Analgesia in Bladder Cancer Patients Undergoing Radical Cystectomy

• DOI: 10.3889/oamjms.2022.10845
• Publication Date: 2022-12-13T13:57:37Z
• Authors: Ahmed Bakeer; Khaled Abdelhamid; Dina Nabil; Mohamed Rawi
• Keywords: 03 medical and health sciences; 0302 clinical medicine; 3. Good health

Background and Aim: Multimodal analgesia is currently used for perioperative pain management after Radical cystectomy (RC). This study aimed to compare quadratus lumborum block (QLB) thoracic epidural (TEA) in patients subjected RC.
 Methods: prospective randomized controlled included 34 with bladder cancer RC under general anesthesia, divided into two groups. The Quadratus Group (n=17) underwent bilateral ultrasound-guided continuous QLB, the Epidural TEA. primary outcome was intensity measured by VAS score, secondary outcomes were total morphine consumption during first 48 hours surgery, postoperative nausea patient satisfaction.
 Results: There no differences between groups scores starting immediately surgery up hours. Reduction of score QLB delayed compared that had a comparable number requesting rescue (p = 0.271) 0.976) remaining patients. significantly lower than 0.020). significant difference satisfaction (p=0.612). Few mild complications detected studied groups.
 Conclusion: TEA are safe effective managing radical similar analgesic profiles. more reducing vomiting.