Comparison of Ultrasound-Guided Lumbar Erector Spinae Plane Block and Trans-Muscular Quadratus Lumborum Block for Postoperative Analgesia in Hip and Proximal Femur Surgery

Abstract

Abstract Background Orthopedic operations for hip and femur fractures can lead to significant postoperative pain. In these patients, different regional anaesthesia techniques play an important role in multimodal analgesia plans. Nonopioid analgesia techniques are especially important in aging populations when comorbidities are considered. Aim of the Work to evaluate the effectiveness of ultrasound-guided lumbar Erector Spinae Plane block versus Trans-muscular Quadratus Lumborum block for postoperative analgesia in hip and proximal femur surgery. Patients and Methods This study is a double-blind, Prospective, Randomized, Study. This study is conducted at Ain Shams University hospitals, Cairo, Egypt. The study period 6 months. Results The current study results revealed three distinct groups were examined: the L-ESB Group, QLB-T Group, and Control Group, each comprising 20 participants. The study aimed to compare the effects of two different interventions, namely L-ESB and QLB-T, against a Control Group. The evaluation was based on a range of parameters, and the outcome measures were assessed using both demographic and clinical variables. In terms of participants' ages, the mean ages and standard deviations were provided for each group. The calculated mean ages were 51.7 years for the L-ESB Group, 52.95 years for the QLB-T Group, and 52.28 years for the Control Group. The slight differences in mean ages, as indicated by a p-value of 0.790 and a similarity measure (§=0.237), suggest that the age distribution across these groups is statistically comparable. Consequently, potential impacts of age-related variations on observed outcomes are likely to be minimal. Conclusion The results demonstrated that the interventions exhibited statistically significant influences on various aspects of post-operative recovery, including pain perception, mean arterial blood pressure, heart rate, time to request analgesia, and medication dosages. Notably, the interventions showcased potential benefits in terms of improved pain management and reduced analgesic requirements. These findings underscore the importance of considering individualized interventions for optimal patient care in hip and proximal femur surgery, while acknowledging the potential impact of confounding factors and the need for further studies to establish precise dosage and concentration protocols for local anesthesia.