Evidence map›Paper›PMID 32303784›Full record

ArticleDer Anaesthesist2020

Comparison of types 2 and 3 quadratus lumborum muscle blocks : Open inguinal hernia surgery in patients with spinal anesthesia.

O Bagbanci, H Kursad, A M Yayik, E O Ahiskalioglu, M E Aydin, A Ahiskalioglu, E Karadeniz

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In one paragraph

Article in Der Anaesthesist, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

O BagbanciDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey.
H KursadDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey.
A M YayikDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey. m_yayik@hotmail.com.
E O AhiskaliogluDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey.
M E AydinDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey.
A AhiskaliogluDepartment of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey.
E KaradenizDepartment of General Surgery, Ataturk University School of Medicine, Erzurum, Turkey.
Atatürk University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe efficacy of quadratus lumborum muscle block (QLB) in abdominal surgery is known; however, the efficacy of different QLB types is unclear. The objective of this study was to investigate the effects of ultrasound-guided QLB type 2 and type 3 on postoperative opioid consumption and pain scores in patients undergoing inguinal hernia surgery. MATERIAL AND

methodsIn this study 60 patients undergoing open inguinal hernia surgery were randomly assigned to 3 groups. Group QLB2 received ultrasound-guided QLB type 2 and group QLB3 received ultrasound-guided QLB type 3 with 0.25% 20 mL bupivacaine. In the control group (group C) no intervention was performed. Postoperative analgesia was performed intravenously with 1000 mg paracetamol every 6 h and patient-controlled analgesia with fentanyl. Postoperative visual analog scale scores (VAS), opioid consumption, and first analgesic requirement time were evaluated.

resultsFentanyl consumption was significantly higher in group C compared to the other groups at all time intervals (p < 0.05). Fentanyl consumption was significantly higher in group QLB2 compared to QLB3 at the 4-8 h, 8-24 h, and total 24 h. Passive VAS 4h and 8 h, active VAS 4h, 8h, and 12 h were significantly lower in group QLB3 compared to QLB2 (p < 0.05). The first analgesic time was significantly later in group QLB2 compared to group C (280.52 ± 89.20 min and 183.75 ± 42.79 min, respectively) and even later in group QLB3 compared to the other two groups (463.42 ± 142.43 min, p < 0.05).

conclusionThe use of QLB2 and QLB3 decreased postoperative opioid consumption and pain scores in patients undergoing inguinal hernia surgery. Furthermore, QLB3 provided more effective and longer lasting postoperative analgesia and lower opioid consumption compared to QLB2.

Indexed as

AcetaminophenAdultAnalgesia, Patient-ControlledAnalgesics, OpioidAnesthesia, SpinalAnestheticsFemaleFentanylHernia, InguinalHumansMaleMiddle AgedNerve BlockPain ManagementPain MeasurementPostoperative PainAcetaminophenAnalgesics, OpioidAnestheticsFentanylFentanylPatient-controlled analgesiaPostoperative analgesiaRandomized controlled trialVisual analog scale

Identifiers

PMID32303784
OpenAlexW3016655243

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.