EVALUATING THE EFFECTIVENESS OF PAIN RELIEF AFTER CASAREAN SECTION BY USING ULTRASOUND-GUIDED QUADRATUS LUMBORUM BLOCK PROCEGURE

Nguyễn Xuân Tịnh1,, Phạm Thiều Trung1, Vũ Đức Định1
1 Vinmec Phu Quoc International Hospital

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Abstract

Objectives: To evaluate the effectiveness of pain relief after cesarean section by using ultrasound-guided quadratus lumborum block procedure; To learn some undesirable effects of this technique. Methods: An interventional, cross-sectional, prospective, non-controlled study. Results: Regarding the effectiveness and duration of analgesia: The average time of onset of analgesic effect was 12.68 ± 86.02 minutes. Time the drug has an analgesic effect: From 0 to 5 hours: 06%; From 6 to 10 hours: 18%; From 11 am to 3 pm: 26%; From 16 to 20 hours: 12%; From 20 hours or more: 38%. The effectiveness of pain relief after cesarean section by the method of  anesthesia of ultrasound-guided quadratus lumborum block  is at a very good and good level of 100%. The duration of analgesic effect lasted 16.12 ± 6.82 hours, (ii) Side effects of the drug and at the time of technique: There were no serious complications or complications. Side effects nausea, vomiting is 3%; shivering is 5%. Conclusion: Anesthesia of the lumbar squamous muscle to relieve pain after cesarean section is very effective and safe for post cesarean women.

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References

1. Nguyễn Tất Bình (2019), “Kỹ thuật gây tê vùng mới trong giảm đau sau mổ lấy thai. Kinh nghiệm bước đầu gây tê khoang cơ vuông thắt lưng dưới hướng dẫn siêu âm qua 50 trường hợp”, Kỷ yếu Hội nghị GMHS TP Hồ Chí Minh, Tr. 66-69.
2. Nguyễn Văn Chinh (2010), “ Giảm đau sau mổ”, Đại Học Y Dược TP. HCM.
3. Tạ Quang Hùng (2020), “Nhận xét tác dụng giảm đau sau mổ lấy thai của phương pháp gây tê cơ vuông thắt lưng hai bên”, tạp chí y học TP Hồ Chí Minh, 4(23), Tr. 118-123.
4. Lê Anh Tuấn (2019), “Đánh giá hiệu quả giảm đau sau mổ lấy thai bằng phương pháp gây tê cơ vuông thắt lưng dưới hướng dẫn siêu âm”, Tạp chí Nghiên cứu Y học, 9(20), Tr. 14-23.
5. Hironobu Ueshima et al (2017), “Ultrasound-Guided Quadratus Lumborum Block: An Updated Review of Anatomy and Techniques”, Biomed research International, 10(1155), pp. 20-25.
6. Abeer Ahmed, Maher Fawzy et al (2019), “Ultrasound-guided quadratus lumborum block for postoperative pain control in patients undergoing unilateral inguinal hernia repair, a comparative study between two approaches”, BMC Anesthesiology, 19(184), pp. 234-237.
7. Gudny E Steingrimsdottir, Gunnar Hellmund Laier et al, (2019), “Ultrasound-guided transmuscular quadratus lumborum block for elective cesarean section significantly reduces postoperative opioid consumption and prolongs time to first opioid request: a double-blind randomized trial”, Regional Anesthesia and Pain Medicine, 9(44), pp. 23-29.