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Evaluating the effectiveness of analgesia after cesarean section by using ultrasound-guided quadratus lumborum block procedure at Viet Tiep Friendship Hospital
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Abstract
Background: Pain relief after cesarean section by using ultrasound-guided quadratus lumborum block procedure is a new technique, effective pain and safe for post-cesarean women.
Purpose: To evaluate the effectiveness of analgesia after cesarean section using a single dose of ultrasound-guided quadratus lumborum block. Research on the side effects of ultrasound-guided quadratus lumborum block.
Methods: Research on progress, clinical trial, randomized distribution of over 30 patients aged 20 years old, ASA I, II, undergoing cesarean section, are under spinal block at Việt Tiệp Hospital. They received QLB with 1 mg/kg - Levobupivacain 0.25% for a side when the VAS score (pain upon activity) > 3, Diclofenac 100 mg rectally after QLB, Paracetamol 1 g I.V every 6 hours.
Results: 1. In terms of analgesia: The average onset time was 12.45 ± 2.44 minutes. The average duration of analgesic effect was 20.85 ± 1.23 hours. The VAS score postoperatively: The VAS score (pain at rest) < 2, the VAS score (pain upon activity) < 4. The rate of very satisfied was 70% and of satisfied was 30%. 2. About side effects: No serious adverse event was reported. The rate of nausea and vomiting was 3.33%, cold and shivering was 6.67%.
Conclusions: Anesthesia of the lumbar squamous muscle to relieve pain after cesarean section is effective and safe for post-cesarean women.
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Keywords
Quadratus lumborum block, ultrasound - guided, analgesia, cesarean section
References
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