الفهرس | Only 14 pages are availabe for public view |
Abstract SUMMARY mbilical hernia repair, a common day-surgery procedure, is associated with considerable postoperative discomfort. The goal of postoperative pain management is provision of comfort, early mobilization and improved respiratory function without causing inadequate sedation and respiratory compromise, which can be achieved through using multimodal analgesic therapy, preference for regional techniques, avoidance of sedatives, noninvasive ventilation with supplemental oxygen and early mobilization. In the past few years, rectus sheath block has been increasingly used for postoperative pain relief after paraumbilical hernia repair surgery. The main advantage of quadratus lumborum block (QLB) compared to rectus sheath block is the extension of local anaesthetic agent beyond the transversus abdominis plane to the thoracic paravertebral space. The wider spread of the local anaesthetic agents may produce extensive analgesia and prolonged action of the injected local anaesthetic solution. The aim of this study was to assess the analgesic efficacy of ultrasound-guided posterior QLB compared with rectus sheath block during para-umbilical hernia repair surgery and in the early postoperative period regarding pain relief, provision of comfort, and improved respiratory functions. U Summary 78 After approval of anaesthesiology department scientific and ethical committees in Ain Shams University Hospitals, patients were included in the study, and were divided into two groups (n=20; each); group QLB and group RSB. group QLB: Patients (n=20) of this group received bilateral ultrasound-guided QLB after induction of general anesthesia using 0.2 ml/kg bupivacaine 0.25%. group RSB: Patients (n=20) of this group received bilateral ultrasound-guided rectus sheath block after induction of general anesthesia using 0.2 ml/kg bupivacaine 0.25%. The two groups were adequately monitored and assessed post-operatively and they were compared regarding analgesic outcome by using the visual analogue scaling system, besides, recording time for first call for rescue analgesia. Demographic data, post-operative hemodynamics, and sedation score were also assessed. |