Comparison of Analgesic Efficacy of Quadratus Lumborum Versus Transversus Abdominis Plane Block in Patients Undergoing Gynecologic Surgeries

Naveed Ahmed  Durani; Salman Ahmad  Saleem; Rashid  Iqbal; Moazzam Ali; Shmyla  Hamid; Tahseen  Talib

doi:10.51253/pafmj.v75i3.7754

Authors

Naveed Ahmed Durani Department of Anesthesia, Shifa International Hospital, Islamabad Pakistan
Salman Ahmad Saleem Department of Anesthesia, Shifa International Hospital, Islamabad Pakistan
Rashid Iqbal Department of Anesthesia, Combined Military Hospital, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Moazzam Ali Department of Anesthesia, Combined Military Hospital, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Shmyla Hamid Department of Anesthesia, Rawalpindi Medical University, Rawalpindi Pakistan
Tahseen Talib Department of Anesthesia, Combined Military Hospital, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75i3.7754

Keywords:

Analgesia, Gynecological surgery, Numeric Rating scale, Quadratus lumborum block, Tramadol.

Abstract

Objective: To determine the analgesic efficacy of quadratus lumborum block versus transversus abdominis plane block in patients undergoing gynecological surgeries.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of Anesthesia and Pain Medicine, Combined Military Hospital, Rawalpindi, Pakistan, from May – Oct 2021.

Methodology: We included 60 patients undergoing gynecological surgeries under general anesthesia in our study. Patients given bilateral Transversus Abdominis Plane (TAP) block were allocated to Group T (n=30), while those given bilateral Quadratus Lumborum Block (QLB) were allocated Group Q (n=30). Pain score, using Numeric Rating Scale (NPS), was assessed at 1, 6, 18 and 24 hours after the procedure as a primary outcome while total tramadol consumption in milligrams was recorded as a secondary outcome.

Results: In both groups, the mean pain score remained 7 or less over 24 hours. Mean pain score after 1 hour was 2.30±1.09 in Group T while it was 2.40±1.10 in Group Q and after 6 hours, it was recorded as 2.47±0.94 in Group T and 2.43±1.04 in Group Q. After 12 hours pain score was 2.97±1.25 in Group T and 2.83±1.37 in Group Q while at 24 hours, a mean pain score of 3.37±1.45 was noted in Group T and 3.20±1.42 in Group Q. Total mean Tramadol consumption in Group T was found to be 127.5±70.5 mg and 122.5±63.1 mg in Group Q.

Conclusion: Both blocks were equally effective in the management of post-operative pain within the first 24 hours of gynecological surgery.

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