SO SÁNH MỘT SỐ TÁC DỤNG KHÔNG MONG MUỐN CỦA GÂY TÊ CƠ VUÔNG THẮT LƯNG VỚI GÂY TÊ MẶT PHẲNG CƠ NGANG BỤNG DƯỚI HƯỚNG DẪN SIÊU ÂM ĐỂ GIẢM ĐAU SAU MỔ CẮT TỬ CUNG HOÀN TOÀN ĐƯỜNG BỤNG

Abstract

Objective: To compare the side effects of ultrasound guided Quadratus lumborum (QL) block versus Transversus Abdominis Plane (TAP) block for pain relief of total abdominal hysterectomy.  Methods: 60 patients performed spinal anesthesia for total abdominal hysterectomy, were randomly divided into two similar groups to receive analgesia postoperative by ultrasound guided bilateral QL block or bilateral TAP block with ropivacaine 0.25% dose of 0.3ml / kg on each side. We Continuously monitored the side effects of these methods in the first 24 hours after surgery. Results: The rate of nausea and vomiting in the QL block group was 3.33% compared to 6,67% in TAP block group the pruritus rate in the two groups was 3.33%. There was no case of abdominal wall hematoma, infection on the needle punture site, intra-abdominal organ damage or local anaesthetic systemic toxicity in both groups. Conclusions: The side effects of ultrasound guided Quadratus lumborum (QL) block was similar to Transversus Abdominis Plane (TAP) block for postoperative pain relief in total abdominal hysterectomy. There was no serious complication in both methods.