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Corresponding Author

Ahmed Adly Adly Mohamed

Document Type

Original Article

Abstract

Background: Somatic and visceral features both contribute to the subsequent pain that ensues after laparoscopic cholecystectomy.

Aim: To explore the effectiveness of the Erector Spinae Plane Block (ESPB) and quadratus lumborum block (QLB3) to mitigate postoperative pain and narcotic necessities for subjects scheduled for laparoscopic cholecystectomy.

Methods: This study comprised 110 participants who underwent laparoscopic cholecystectomy. The participants were randomly categorized into two equally matched groups (ESPB and QLB3). Each participant received a single injection of 20 mL, 0.25% bupivacaine on both sides. The main outcome was to ascertain the necessity for subsequent narcotic analgesia within the initial 24-hour period.

Results: The occurrence of mitigated narcotic consumption after surgery was increasingly prevalent in the ESPB group, as opposed to the QLB3 group (65.45% vs. 61.82%, P = 0.163). The median 24-hour morphine consumption was comparable between both groups, with 3 doses per day. The distinction in administration amongst the two groups was not statistically significant (P

Conclusion: Ultrasound-guided ESPB and QLB3 exhibited similar effectiveness in pain mitigation and tolerability without triggering substantial hemodynamic alterations. Neither group reported serious consequences. The superiority of one block to another could not be concluded. A non-inferiority research design is preferable in order to accurately determine the degree of similarity observed across the two groups.

Keywords

Quadratus Lumborum Block; Erector Spinae Plane Block; Pain Management; Laparoscopic Cholecystectomy

Subject Area

Anesthesiology

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