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Corresponding Author

megawer, Ahmed

Document Type

Original Article

Abstract

Background: Neuraxial anaesthesia (mainly spinal anaesthesia) is the anaesthetic technique of choice for elective cesarean delivery. Sufficient postoperative analgesia is an integral component of Enhanced Recovery After Surgery (ERAS) protocols; it supposes greater importance in women undergoing cesarean delivery and is rapidly gaining popularity. Aim of the Work: This study investigates postoperative analgesic efficacy after cesarean section of two different approaches of quadratus lumborum block; posterior (QLB 2) and anterior (QLB 3) approaches compared to the conventional intravenous. Patients and Methods: A prospective double-blinded randomised controlled clinical study in Al-Azhar university hospitals in Cairo on 102 patients aged 21 to 35 were scheduled for elective cesarean delivery under spinal anaesthesia without any other surgical intervention as tubal ligation or ovarian cyst removal after approval of the institutional ethical committee. Results: Our study demonstrated a statistically significant difference between groups according to VAS S score at T0 to T24 with p-value (p < 0.05 S). In addition, the VAS S score was significantly lower among the QLB groups, either QLB2 or QLB3), compared to the No-QLB group, in the time from T2 to T24. The difference between QLB2 and QLB3 was statistically, at the time of T2, T4, T12, and T16, according to the VAS score Conclusion: The present study showed that QLB has an essential role in treating postoperative pain after cesarean section.

Keywords

Ultrasound-guided; Quadratus Lumborum; Cesarean delivery

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