Postoperative analgesic effectiveness of quadratus lumborum block: systematic review and meta-analysis for adult patients undergoing hip surgery Article Swipe
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· 2022
· Open Access
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· DOI: https://doi.org/10.1186/s13018-022-03172-8
Background Quadratus lumborum block is a truncal block with several technique variations. It has been reported as providing effective analgesia for postoperative pain. The aim of this study is to determine the efficacy of the QL block in providing postoperative analgesia for hip surgery when compared with placebo or no block or other analgesic techniques. Methods Randomized trials evaluating quadratus lumborum block benefits in elective hip surgery were sought. The primary outcome was the 24 h opioid requirement after surgery. Two independent reviewers selected the studies and extracted the data. Results Thirteen randomized-controlled trials were included in this study. The included studies had significant heterogeneity regarding comparator groups; therefore, a limited quantitative analysis was undertaken for the comparison of QL block versus no block or placebo only. QL block reduced the opioid use by 15.78 (95% CI, 2.31 to 29.26) mg IME in the first postoperative 24 h compared with no block or placebo with no difference in static pain scores, pain grade was reduced by 2.95 (95% CI, 2.40 to 3.60) in the QL block group compared with placebo or no block in the first postoperative 24 h during movement. Conclusions Our meta-analysis indicates that QL block may be effective for analgesia in patients after hip surgery compared with placebo or no block. There is currently limited evidence comparing QL block with other analgesic techniques for hip surgery.
Related Topics
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1186/s13018-022-03172-8
- https://josr-online.biomedcentral.com/track/pdf/10.1186/s13018-022-03172-8
- OA Status
- gold
- Cited By
- 13
- References
- 38
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4280606159
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4280606159Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1186/s13018-022-03172-8Digital Object Identifier
- Title
-
Postoperative analgesic effectiveness of quadratus lumborum block: systematic review and meta-analysis for adult patients undergoing hip surgeryWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-05-19Full publication date if available
- Authors
-
Haolan Xiong, Xiaohua Chen, Wenxiu Zhu, Wuke Yang, Fuming WangList of authors in order
- Landing page
-
https://doi.org/10.1186/s13018-022-03172-8Publisher landing page
- PDF URL
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https://josr-online.biomedcentral.com/track/pdf/10.1186/s13018-022-03172-8Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://josr-online.biomedcentral.com/track/pdf/10.1186/s13018-022-03172-8Direct OA link when available
- Concepts
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Medicine, Placebo, Analgesic, Anesthesia, Hip surgery, Block (permutation group theory), Randomized controlled trial, Surgery, Orthopedic surgery, Meta-analysis, Arthroplasty, Internal medicine, Pathology, Mathematics, Alternative medicine, GeometryTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
13Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 6, 2024: 7Per-year citation counts (last 5 years)
- References (count)
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38Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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