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All Journal BALI MEDICAL JOURNAL (BMJ) Medicina Bali Journal of Anesthesiology Syntax Literate: Jurnal Ilmiah Indonesia ISM (Intisari Sains Medis) : Jurnal Kedokteran PREPOTIF : Jurnal Kesehatan Masyarakat Indonesian Journal of Anesthesiology and Reanimation (IJAR) Majalah Anestesia & Critical Care (MACC)
Kadek Agus Heryana Putra, Kadek Agus
Bagian/SMF Ilmu Anestesi Dan Terapi Intensif RSUP Sanglah, Fakultas Kedokteran Universitas Udayana
Humanities Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Social Sciences Other

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Journal : Majalah Anestesia

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Efficacy of Quadratus Lumborum Block Compared to Paravertebral Block on Pediatric Patients Undergoing Abdominal Surgery Sudiantara, Putu Herdita; Widnyana, I Made Gede; Putra, Kadek Agus Heryana; Kurniyanta, I Putu; Senapathi, Tjokorda Gde Agung
Majalah Anestesia & Critical Care Vol 42 No 3 (2024): Oktober
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55497/majanestcricar.v42i3.415

Abstract

Background: Abdominal surgery is a major procedure associated with severe postoperative pain in pediatric patients. Quadratus lumborum block (QLB) is considered an effective pain control in such cases. Paraverterbral block (PVB) is another option for postoperative pain management. The aim of this study was to compare the effectiveness of quadratus lumborum block with paravertebral block. Methods: This single-blind randomized controlled trial included 22 pediatric patients who underwent abdominal surgery at Sanglah Hospital, Denpasar between August – October 2022. Research subjects were divided into 2 treatment groups; group A consisted of general anesthesia combined with quadratus lumborum block and group B consisted of general anesthesia combined with paravertebral block. Duration of analgesia was recorded based on the time to analgesic rescue, FLACC pain scale at 0, 2, 4, 6, 12 and 24 hours and total opioid consumption 24 hours after surgery. Statistical analyses were performed using SPSS. Results: Eleven patients received QLB and PVB respectively. There was a significant difference in mean analgesia duration of 1287 ± 129.69 minutes compared to 750 ± 122.22 minutes (p < 0.001) (CI 95%: 425.18 – 649.36), median FLACC pain scale at 12 (1 (IQR 2) vs 4 (IQR 1)) and 24 hours postoperative (1 (IQR 2) vs 3 (IQR 1)) between QLB and PVB (p < 0.001 and p < 0.007). Mean 24-hour postoperative opioid consumption was significantly lower in the QLB compared to the PVB. Conclusion: QLB has better effectiveness than PVB in pediatrics undergoing abdominal surgery.
Co-Authors Adinda Putra Pradhana Akbar, Lalu Reza Aldira Arisadika, Putu Bagus Aryasa EM, Tjahya Burhan Cynthia Dewi Sinardja Damayanti, Elok Dewi, I Dewa Ayu Mas Shintya Dharmawan, IGB Adi Gede Semarawima, Gede Giovanni, Malvin Hartawan, IGAG Utara I Gusti Agung Gede Utara Hartawan I Gusti Ngurah Mahaalit Aribawa I Ketut Sinardja I Made Agus Kresna Sucandra I Made Gede Widnyana I Made Subagiartha I Wayan Suranadi Ida Bagus Krisna Jaya Sutawan IGNA Putra Arimbawa, IGNA Putra Jeanne, Bianca Ketut Semara Jaya, Ketut Semara Kurnia, Prajnaariayi Prawira Kurniyanta, I Putu Kusuma, Dian Reginalda Made Agus Kresna Sucandra, Made Agus Kresna Made Wiryana Marilaeta Cindryani, Marilaeta Ni Luh Gede Apsari Pararesthi Ni Made Supradnyawati, Ni Made Pontisomaya Parami Putra, Putu Enggi Pradana Putu Herdita Sudiantara, Putu Herdita Putu Kurniyanta Putu Pramana Suarjaya Ratumasa, Marilaeta Cindryani Ra Ratumasa, Marilaeta Cindryani Ra , Sidemen, I Gusti Putu Sukrama Sidemen, IGP Sukrana Sobhana Shanmuganathan Suastika, I Gede Juli Suranadi , I Wayan Thius, Adi Dharma Tirta, Ian Tjokorda Gde Agung Senapathi Widyana, I Made Gede