Evidence map›Paper›PMID 34246687›Full record

Trial reportBrazilian journal of anesthesiology (Elsevier)

Quadratus lumborum or transversus abdominis plane block for postoperative analgesia after cesarean: a double-blinded randomized trial.

Ashok Jadon, Mohammad Amir, Neelam Sinha, Swastika Chakraborty, Asif Ahmad, Sudeshna Mukherjee

Open access · diamondAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

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  5. Observational
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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 1 institution in 1 country.

Ashok JadonTata Motors Hospital, Department of Anesthesia & Pain Relief Service, Jamshedpur, India. Electronic address: jadona@rediffmail.com.
Mohammad AmirTata Motors Hospital, Department of Anesthesia & Pain Relief Service, Jamshedpur, India.
Neelam SinhaTata Motors Hospital, Department of Anesthesia & Pain Relief Service, Jamshedpur, India.
Swastika ChakrabortyTata Motors Hospital, Department of Anesthesia & Pain Relief Service, Jamshedpur, India.
Asif AhmadTata Motors Hospital, Department of Anesthesia & Pain Relief Service, Jamshedpur, India.
Sudeshna MukherjeeTata Motors Hospital, Department of Psychiatry, Jamshedpur, India.
Tata Motors (India) · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultimodal analgesia (MMA) is the current standard practice to provide post-cesarean analgesia. The aim of this study was to compare the analgesic efficacy of quadratus lumborum (QL) block and transversus abdominis plane (TAP) block as an adjunct to MMA.

methodsEighty mothers undergoing cesarean delivery under spinal anesthesia were randomized to receive either TAP or transmuscular QL block (QLB) with 20 mL 0.375% ropivacaine on each side. Postoperatively, all the subjects were assessed at 2, 4, 6, 8, 12, 18, and 24 hours. The primary outcome was the time to first analgesic request. The secondary outcomes were the pain scores during rest and movement, number of doses of tramadol, postoperative nausea-vomiting, sedation, and mother's satisfaction with the pain management.

resultsThe median (IQR) time to first analgesic request was 12 (9.25, 13) hours in the QL group and 9 (8.25, 11.37) hours in the TAP group (p = 0.0008). Patients in QL group consumed less doses of tramadol than those in TAP group (p < 0.0001). Pain scores were significantly lower in the QL group at all time points (p < 0.0001) except at 8

conclusionOur study showed the significant delay in time to first analgesic request in QL group patients. Patients in the QL group had lower pain scores, required fewer analgesic supplements, and had more satisfaction. Nausea-vomiting and sedation were comparable.

Indexed as

AnalgesiaTramadolAbdominal MusclesAnalgesics, OpioidDouble-Blind MethodFemaleHumansPostoperative Nausea and VomitingPostoperative PainPregnancyAnalgesics, OpioidTramadolCesareanMultimodal analgesiaPostoperative painQuadratus lumborum blockTransversus abdominis plane block

Identifiers

PMID34246687
PMCPMC9373105
OpenAlexW3180885030

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.