Comparison of Ultrasound Guided Erector Spinae Plane Block Versus Quadratus lumborum Block in hip and Proximal Femur Surgery

Authors

Mohamed Mustafa Elazab Ibrahim, Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt
Mohamed Ahmed El Badawy Mohamed, Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt
Eslam Hamdy AbdElgalil Mohamed, Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine for Boys, Al-Azhar University, Cairo, EgyptFollow

Corresponding Author

Eslam Hamdy AbdElgalil Mohamed

Document Type

Original Article

Abstract

Background: The global hip surgery patient group exhibits significant diversity, ranging from physically active young adults who undergo hip arthroscopy to elderly individuals had frailty and various comorbidities.

Aim and objectives: To compare between Erector Spinae Plane Block (ESPB) quadratus lumborum block following hip proximal femur surgery under spinal anaesthesia regarding the relief of after-surgery pain.

Patients and methods: prospective, randomized double-blinded clinical research performed on sixty individuals in Al-Azhar University Hospitals, in Cairo, after approval by the departmental ethical Committee. patients divided into two groups.

Results: There was no statistically significant variance among both groups regarding postoperative VAS following surgery at rest through movement p above 0.05. no statistically significant variance among the two groups regarding pain assessment in terms of morphine consumption, time of analgesia, and patient satisfaction p>0.05.

Conclusion: Ultrasound erector spinae block is superior to Ultrasound-guided quadratus lumborum in pain scores, length of analgesia, and total analgesic consumption, but without a statistically significant difference.

Keywords

Ultrasound Guided Erector Spinae Plane Block; Quadratus lumborum Block; proximal femur surgery

Subject Area

Anesthesiology

How to Cite This Article

Ibrahim, Mohamed Mustafa Elazab; Mohamed, Mohamed Ahmed El Badawy; and Mohamed, Eslam Hamdy AbdElgalil (2024) "Comparison of Ultrasound Guided Erector Spinae Plane Block Versus Quadratus lumborum Block in hip and Proximal Femur Surgery," Al-Azhar International Medical Journal: Vol. 5: Iss. 7, Article 23.
DOI: https://doi.org/10.58675/2682-339X.2541