Eman Sayed Ibrahim, Zeinab Fathy Elsayed Abdelaty, Mamdouh Elsayed Lotfy, Hanaa Saeed Abdelhafez, Wesam Eldin Abdelrahman Sultan
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引用次数: 0
摘要
目的:评价超声引导下双侧连续前路QLB对减轻腹部大手术肝硬化患者疼痛和芬太尼消耗的影响。方法:对60例接受腹部大手术的肝硬化患者进行双盲随机对照研究。B组双侧腰大肌前侧腰大肌与腰大肌间各间隙灌注0.25%布比卡因(0.4ml/kg)，然后以10ml/hr的剂量连续输注0.25%布比卡因。S组双侧前路QLB在同一平面内等量0.9生理盐水。记录血流动力学、术中及术后镇痛消耗、VAS评分、恶心呕吐发生率、呼吸系统并发症。结果:B组和C组术后12 h内芬太尼平均消耗量分别为(337.93±135.39、312±170.36)μ g和(518.33±121.40、582.00±141.16)μ g p
Ultrasound Guided Quadratus Lumborum Block In Cirrhotic Patients Undergoing Major Abdominal Surgery (Randomized Control Trial)
Objectives: to assess the effect of ultrasound-guided bilateral continuous anterior QLB on alleviating pain and fentanyl consumption in cirrhotic patients who undergoing major abdominal surgery. Methods: 60 cirrhotic patients undergoing major abdominal surgery were involved in this double blinded randomized control study. In group B bilateral anterior QLB with (0.4ml/kg) bupivacaine 0.25% in each space between QL and psoas major muscle then continuous infusion of bupivacaine 0.25% at dose 10ml/hr. In group S bilateral anterior QLB with equal volume of 0.9 saline in the same plane. Hemodynamics, intra and postoperative analgesic consumption, VAS score, incidence of nausea and vomiting, respiratory complications were recorded. Results: The mean fentanyl consumption intra and 12 hours postoperative in group B and group C were (337.93± 135.39 and 312±170.36 VS. 518.33 ±121.40 and 582.00 ±141.16 microgram p
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