Evaluating the Impact of Regional Anesthesia Techniques on Postoperative Pain Management and Recovery in Hip Arthroplasty: A Randomized Controlled Trial | ||||
| Suez Canal University Medical Journal | ||||
| Article 9, Volume 28, Issue 2, February 2025, Page 0-0 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/scumj.2025.430882 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Asmaa Salah Salama  ; Amr Mohammed Helmy; Sara Mohamed Helmy
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| Anesthesia and Intensive Care Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt | ||||
| Abstract | ||||
| Background: Hip arthroplasty, also known as hip replacement surgery is an procedure that aims to reduce pain and improve function, for individuals with serious hip conditions. It is crucial to manage pain to support patient recovery, shorten hospital stays and lower the risks associated with opioid use. Objective: The research examined how well two different types of anesthesia. Transmuscular quadratus lumborum block (QLB) and suprainguinal fascia iliaca block (FIB). Worked in hip arthroplasty patients looking at their impact, on pain relief, opioid use and patient satisfaction. Methods: A research study was carried out at Suez Canal University Hospital involving 38 patients divided into two groups; QLB (n=19) and FIB (n=19). Both groups were given anesthesia using 0.5% hyperbaric bupivacaine. Pain levels, after surgery were evaluated using the Visual Analog Scale (VAS) while at rest and during movement at time points. 1, 6, 12 and 24 hours post surgery. Additional factors examined included the amount of opioids used time elapsed before the request, for pain relief, patient satisfaction levels and monitoring of signs. Results: The QLB group reported significantly lower VAS scores at all time points compared to the FIB group (p < 0.001). Opioid consumption was significantly lower in the QLB group (15.4 ± 3.7 mg vs. 25.6 ± 4.9 mg, p < 0.01). The time to first analgesic request was longer in the QLB group (8.5 ± 1.4 hours vs. 4.3 ± 1.1 hours, p < 0.01). Patient satisfaction was higher in the QLB group, with more patients reporting being very satisfied (15 vs. 8, p < 0.05). There were no significant differences in heart rate and respiratory rate between the two groups, except at 12 hours where the QLB group had a significantly lower heart rate (p = 0.009). Minor complications did not differ significantly between the groups. Conclusion: Patients who underwent hip replacement surgery experienced pain relief, reliance, on opioids and higher satisfaction, with the transmuscular quadratus lumborum block (QLB) compared to the suprainguinal fascia iliaca block (FIB). To enhance pain management and recovery after hip arthroplasty it is recommended to utilize localized anesthetics through QLB. Additional research is necessary to confirm these results and explore the applications of QLB in procedures. | ||||
| Keywords | ||||
| Regional Anesthesia; Postoperative Pain Management; Arthroplasty | ||||
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