دورية أكاديمية
Is quadratus lumborum block combined with low dose-spinal anesthesia an effective alternative to general anesthesia in patients undergoing percutaneous nephrolithotomy?
| العنوان: | Is quadratus lumborum block combined with low dose-spinal anesthesia an effective alternative to general anesthesia in patients undergoing percutaneous nephrolithotomy? |
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| المؤلفون: | Abouelgreed TA; Department of Urology, Faculty of medicine, Al-Azhar University, Cairo. dr_tamer_ali@yahoo.com., Elgarhy AM; Department Anesthesia, Al-Azhar University, Cairo. elgarhy_79@yahoo.com., Elatreisy A; Department of Urology, Faculty of medicine, Al-Azhar University, Cairo. dr_adelelatreisy@yahoo.com., Ewieda TM; Department Anesthesia, Al-Azhar University, Cairo. tamerewieda@yahoo.com., Ibrahim WM; Department Anesthesia, Al-Azhar University, Cairo. waelelmahdy@gmail.com., Yahia OS; Department Anesthesia, Al-Azhar University, Cairo. yahiadrothmansaadeldien@gmail.com., Elnaggar AM; Department Anesthesia, Al-Azhar University, Cairo. ahmed.elnaggar@azhar.edu.eg., Elbadawy MA; Department Anesthesia, Al-Azhar University, Cairo. dr.m.albadawy@gmail.com., Alkumity AA; Department Anesthesia, Al-Azhar University, Cairo. alkumityali74@gmail.com., Badran Y; Department of Urology, Faculty of medicine, Al-Azhar University, Cairo. dryasserbadran@gmail.com., Ali M; Department of Urology, Faculty of medicine, Al-Azhar University, Cairo. dr_mahmoud72@hotmail.com., Gomaa A; Department of Urology, Faculty of medicine, Al-Azhar University, Cairo. alygomaa68@yahoo.com., Elebiary MF; Department of Urology, Faculty of medicine, Al-Azhar University, Cairo. dr_elebiary@yahoo.com., Aboelnasr M; Department of Urology, Faculty of medicine, Al-Azhar University, Cairo. mdaboelnasr@gmail.com. |
| المصدر: | Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica [Arch Ital Urol Androl] 2023 Sep 12; Vol. 95 (3), pp. 11584. Date of Electronic Publication: 2023 Sep 12. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: PagePress Country of Publication: Italy NLM ID: 9308247 Publication Model: Electronic Cited Medium: Internet ISSN: 2282-4197 (Electronic) Linking ISSN: 11243562 NLM ISO Abbreviation: Arch Ital Urol Androl Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Pavia, Italy : PagePress Original Publication: Milano : Masson, c1993- |
| مواضيع طبية MeSH: | Anesthesia, Spinal* , Nephrolithotomy, Percutaneous*, Humans ; Anesthetics, Local ; Prospective Studies ; Analgesics, Opioid ; Spinal Puncture ; Anesthesia, General ; Ultrasonography, Interventional/methods |
| مستخلص: | Background: General anesthesia in high-risk patients has many complications and needs long preoperative preparations and postoperative intensive care unit (ICU). Therefore the present study aimed to evaluate the efficacy of combined low-dose spinal anesthesia with quadratus lumborum block (QLB) as an alternative to general anesthesia for patients undergoing percutaneous nephrolithotomy. Patients and Methods: A prospective study was conducted at the urology department of Al-Azhar University Hospitals in Cairo, Egypt, from January 2021 to January 2022. The study included 60 patients of ASA ll-lll scheduled for percutaneous nephrolithotomy. All patients received low-dose spinal anesthesia (5 mg bupivacaine) and QLB (QL1-QL2-QL3) approaches. The primary observation parameter was the efficacy of this technique as an alternative to general anesthesia. The secondary parameters measured were evaluation of need for intraoperative narcotics, postoperative pain score (VAS), and patients satisfaction as assessed using a 5-point Likert Scale. Results: None of the patients was given general anesthesia, and intraoperative sedation was given to nineteen patients (32.2%). No hemodynamic changes were observed in all patients. There was a significant correlation between the use of intraoperative sedation and stone site, intraoperative blood loss, and hospital stay. Pain intensity on VAS at rest and movement was low until the 24th postoperative hour. Patient satisfaction score was 3, 4, and 5 in 1 (1.7%), 4 (6.7%), and 55 (91.6%) patients, respectively. Conclusions: Combined low-dose spinal anesthesia with quadratus lumborum block is an effective alternative to general anesthesia in patients undergoing PCNL procedures with good postoperative analgesia. Patients with lower calyceal punctures have a lower incidence of intraoperative sedation requirements. |
| المشرفين على المادة: | 0 (Anesthetics, Local) 0 (Analgesics, Opioid) |
| تواريخ الأحداث: | Date Created: 20231004 Date Completed: 20231101 Latest Revision: 20231101 |
| رمز التحديث: | 20240628 |
| DOI: | 10.4081/aiua.2023.11584 |
| PMID: | 37791553 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2282-4197 |
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| DOI: | 10.4081/aiua.2023.11584 |