Evidence map›Paper›PMID 33437075›Full record

ArticleIndian journal of anaesthesia2020

Continuous quadratus lumborum block as post-operative strategy for pain control in spinal fusion surgery.

Jon Wilton, Helen Chiu, Natalie Codianne, Herschel Knapp, Vicente Roques Escolar, Shari Burns

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of anaesthesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

7 citing papers in PubMed, 17 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

6 authors at 3 institutions in 2 countries.

Jon WiltonDepartment of Anaesthesia, Dignity Health Mercy Medical Center Mt. Shasta, Mount Shasta, Redding, USA.
Helen ChiuDepartment of Pharmacy, Dignity Health Mercy Medical Center Redding, Redding, USA.
Natalie CodianneDepartment of Pharmacy, Dignity Health Mercy Medical Center Mt. Shasta, Mount Shasta, USA.
Herschel KnappDepartment of Clinical Informatics, Dignity Health Southern California Regional Office, CA, USA.
Vicente Roques EscolarDepartment of Anaesthesia and Intensive Care Medicine, Arrixaca University Clinical Hospital, Murcia, Spain.
Shari BurnsDepartment of Nurse Anaesthesia, College of Health Sciences, Midwestern University, Glendale, AZ, USA.
Dignity Health · USMidwestern University · USShasta College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsLumbar spinal fusions have post-operative pain levels that can be difficult to treat. The objective of this study was to determine if using bilateral quadratus lumborum (QL) nerve block catheters for lumbar fusions changes the patient's post-operative recovery experience by reducing opioid consumption, thereby limiting potential risks and side effects and reducing recovery time.

methodsThere were a total of 52 surgical lumbar fusion patients in this single-center, retrospective cohort review. In control Group A, there were 26 patients who received opioid regimens. In control Group B, there were 26 patients who received bilateral QL block catheters with breakthrough opioid regimens. Forty-eight hour post-operative opioid use in oral morphine milligram equivalents (MME) and length of stay (LOS) from the post-anaesthesia care unit to hospital discharge were examined.

resultsGroup A had a mean MME of 307.62 ± 305.37 mg. Group B had a statistically significant lower mean total MME of 133.78 ± 152.66 mg (

conclusionSurgical lumbar fusion patients who received the QL block catheter had a lower opioid requirement compared to standard opioid regimens. The study was underpowered to detect a difference in LOS.

Indexed as

acute painAnaestheticsanalgesicsmorphine milligram equivalentnerve blockopioidpainpost-operativespinal fusion

Identifiers

PMID33437075
PMCPMC7791409
OpenAlexW3090317140

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

None linked

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.