Abstract:
STUDY OBJECTIVE:This study aimed to evaluate the efficacy of ultrasound-guided transmuscular quadratus lumborum block (QLB) combined with local infiltration analgesia (LIA) for pain management and recovery in patients who have undergone total hip arthroplasty (THA) via a posterolateral approach. DESIGN:This was a prospective, randomized controlled trial. SETTING:We collected data in the preoperative area, operating room, and bed ward. PATIENTS:A total of 80 patients with American Society of Anesthesiology functional status scores of II-III were included and assigned to two groups, and all 80 patients were included in the final analysis. INTERVENTIONS:All included patients were randomly assigned to the nerve block (group N) or the control group (group C). Patients in the group N received transmuscular QLB combined with LIA, while patients in the group C received only LIA. MEASUREMENTS:The primary outcome was postoperative pain during the first active motion: it was measured at six hours after surgery and assessed using a visual analog scale (VAS). Secondary outcomes were the resting VAS scores in the post-anesthesia care unit (PACU) and at 2, 6, 12, 24, 48, and 72 h after surgery; VAS scores during motion at 12, 24, 48, and 72 h after surgery; intraoperative consumption of opioids; postoperative consumption of morphine hydrochloride; frequency of sleep interruption due to pain on the night of surgery; time until the first "walk out of the bed" after surgery; muscle strength of the quadriceps femoris; and postoperative adverse effects. MAIN RESULTS:Compared to the group C, patients in the group N had significantly lower VAS scores during motion at 6, 12, and 24 h after surgery, as well as lower resting VAS scores in the PACU and at 2, 6, 12, and 24 h after surgery. Patients in the group N also consumed significantly smaller amounts of intraoperative opioids and morphine after surgery. Patients in the group N reported significantly fewer interruptions in sleep due to pain on the night of surgery and were able to "walk out of the bed" significantly earlier than those in the group C. There was no significant difference between the two groups in muscle strength of the quadriceps femoris or incidence of postoperative adverse effects. CONCLUSIONS:Compared to treatment with LIA alone, ultrasound-guided transmuscular QLB combined with LIA can provide better postoperative pain relief and enhance the recovery of THA patients, since it does not cause quadriceps femoris muscle weakness and is associated with significantly lower need for intraoperative opioids.
journal_name
J Clin Anesthjournal_title
Journal of clinical anesthesiaauthors
Hu J,Wang Q,Zeng Y,Xu M,Gong J,Yang Jdoi
10.1016/j.jclinane.2021.110372keywords:
["Local infiltration analgesia","Pain","Quadratus lumborum block","Recovery","Total hip arthroplasty"]subject
Has Abstractpub_date
2021-10-01 00:00:00pages
110372eissn
0952-8180issn
1873-4529pii
S0952-8180(21)00211-7journal_volume
73pub_type
杂志文章abstract::We report a 52-year-old woman scheduled for laparotomy with combined epidural-general anesthesia who experienced abnormal responses to local anesthetic injections administered via the epidural catheter. The catheter subsequently was found to be in the subdural space. A review of the literature is provided. ...
journal_title:Journal of clinical anesthesia
pub_type: 杂志文章
doi:10.1016/s0952-8180(99)00008-2
更新日期:1999-03-01 00:00:00
abstract:STUDY OBJECTIVE:To determine the impact of individualized outcome feedback on antiemetic prescribing practices and compare outcomes of a cost-effective, standardized antiemetic protocol (PROT) to that of customized antiemetic therapy (NONPROT). DESIGN:Prospective, observational study with randomized component. SETTIN...
journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0952-8180(98)00123-8
更新日期:1999-02-01 00:00:00
abstract:STUDY OBJECTIVE:To determine the effect of a new pulse oximeter (Nellcor Symphony N-3000, Pleasanton, CA) with signal processing technique (Oxismart) on the incidence of false alarms in the postanesthesia care unit (PACU). DESIGN:Prospective study. SETTING:Nonuniversity hospital. PATIENTS:603 consecutive ASA physica...
journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章
doi:10.1016/s0952-8180(98)00133-0
更新日期:1999-05-01 00:00:00
abstract::An 81-year-old woman with unintentional salicylate intoxication presented with features of sepsis, abdominal pain, and tenderness. Laparotomy was performed to rule out acute cholecystitis. Anesthesia was complicated by severe hypercarbia despite hyperventilation, and progressive cardiovascular and neurologic deteriora...
journal_title:Journal of clinical anesthesia
pub_type: 杂志文章
doi:10.1016/s0952-8180(99)00004-5
更新日期:1999-05-01 00:00:00
abstract:STUDY OBJECTIVE:To examine the effect of perfusion on accuracy of two pulse oximeters in children and to determine thresholds of perfusion below which these pulse oximeters become inaccurate or cease to function. DESIGN:Prospective, observational clinical study. SETTING:Operating room of a large university hospital. ...
journal_title:Journal of clinical anesthesia
pub_type: 杂志文章
doi:10.1016/s0952-8180(99)00054-9
更新日期:1999-06-01 00:00:00
abstract:STUDY OBJECTIVE:To evaluate if active cutaneous warming of the two upper limbs with reflex vasoconstriction is less effective in maintaining intraoperative normothermia than warming the vasodilated unoperated lower limb during combined spinal-epidural anesthesia (CSE). DESIGN:Prospective, randomized study. SETTING:In...
journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0952-8180(99)00062-8
更新日期:1999-08-01 00:00:00
abstract::Intramuscular (IM) injections may be associated with nerve injury, classically the sciatic nerve after intragluteal injection. We describe an unusual injury of the lateral femoral cutaneous nerve following an IM injection of 100 mg meperidine and 25 mg promethazine in the anterolateral right thigh. Although the thigh ...
journal_title:Journal of clinical anesthesia
pub_type: 杂志文章
doi:10.1016/s0952-8180(99)00066-5
更新日期:1999-08-01 00:00:00
abstract:STUDY OBJECTIVE:To determine the effect of two target dexmedetomidine infusions (0.3 ng/ml and 0.6 ng/ml) on the minimal alveolar concentration (MAC) of sevoflurane in adults age 55 to 70 years. DESIGN:Prospective, randomized, placebo-controlled study. SETTING:University-affiliated hospital. PATIENTS:45 ASA physical...
journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0952-8180(99)00081-1
更新日期:1999-09-01 00:00:00
abstract:STUDY OBJECTIVES:To assess the effects of an Acute Pain Service (APS) inception on postoperative pain management in a general teaching hospital using pain indicators as performance measures. DESIGN:Open, prospective, nonrandomized, observational study. SETTING:Postanesthesia Care Unit, surgical wards of University Ho...
journal_title:Journal of clinical anesthesia
pub_type: 杂志文章
doi:10.1016/s0952-8180(99)00101-4
更新日期:1999-11-01 00:00:00
abstract:STUDY OBJECTIVE:To assess mental and psychomotor recovery following induction of anesthesia with thiopental or propofol in elderly patients undergoing general anesthesia. DESIGN:Randomized, prospective, double-blind study. SETTING:Large referral hospital. PATIENTS:40 elderly patients ASA physical status I-III (> 65 ...
journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0952-8180(99)00108-7
更新日期:1999-12-01 00:00:00
abstract:STUDY OBJECTIVES:To evaluate the transfer properties of methohexital and the influence of protein binding using the in vitro human placental perfusion model. DESIGN:Fresh term human placentae from healthy parturients were perfused bidirectionally via a cannulated fetal chorionic artery and vein and needles placed into...
journal_title:Journal of clinical anesthesia
pub_type: 杂志文章
doi:10.1016/s0952-8180(99)00130-0
更新日期:2000-02-01 00:00:00
abstract::The inappropriate use of antihypertensive medications may cause hypotensive responses associated with organ failure. We describe a patient who developed nonocclusive splanchnic ischemia leading to death following the administration of enalapril to treat postoperative hypertension. The mechanisms and consequences of re...
journal_title:Journal of clinical anesthesia
pub_type: 杂志文章
doi:10.1016/s0952-8180(99)00125-7
更新日期:2000-02-01 00:00:00
abstract:STUDY OBJECTIVE:To determine factors that account for gender difference in the need for blood transfusion in coronary artery bypass graft (CABG) patients. DESIGN:Retrospective study of consecutive patients. SETTING:Anesthesiology department of a teaching hospital. PATIENTS:253 CABG patients (163 males and 90 females...
journal_title:Journal of clinical anesthesia
pub_type: 杂志文章
doi:10.1016/s0952-8180(00)00120-3
更新日期:2000-03-01 00:00:00
abstract::Methemoglobinemia is an uncommon cause of cyanosis; however, rapid diagnosis is critical to avoid potentially fatal consequences. Several local anesthetics can precipitate methemoglobinemia in susceptible patients. This case report of acute methemoglobinemia occurred during fiberoptic intubation in an awake patient wi...
journal_title:Journal of clinical anesthesia
pub_type: 杂志文章
doi:10.1016/s0952-8180(00)00113-6
更新日期:2000-03-01 00:00:00
abstract:OBJECTIVE:To determine the predictors of core temperature on arrival in the intensive care unit (ICU) after cardiac surgery. DESIGN:Prospective, randomized trial. SETTING:Tertiary care medical center, operating rooms (ORs), and ICU. PATIENTS:72 patients presenting for coronary artery bypass surgery. INTERVENTIONS:R...
journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0952-8180(00)00134-3
更新日期:2000-05-01 00:00:00
abstract::Arthrogryposis multiplex congenita (AMC) is a spectrum syndrome of multiple persistent limb contractures often accompanied by associated anomalies, including cleft palate, genitourinary defects, gastroschisis, and cardiac defects. Pediatric patients with AMC frequently present for multiple surgeries requiring general ...
journal_title:Journal of clinical anesthesia
pub_type: 杂志文章
doi:10.1016/s0952-8180(00)00147-1
更新日期:2000-05-01 00:00:00
abstract:STUDY OBJECTIVE:To evaluate high-frequency jet ventilation (HFJV) effects on pulmonary arterial and venous flow compared to those of intermittent positive-pressure ventilation (IPPV) by using pulsed Doppler transesophageal echocardiography. DESIGN:Prospective clinical study. SETTING:University-affiliated hospital ope...
journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章
doi:10.1016/s0952-8180(00)00166-5
更新日期:2000-06-01 00:00:00
abstract:STUDY OBJECTIVES:To determine whether a low dose of spinal clonidine either alone or combined with sufentanil would provide effective analgesia following abdominal surgery, as a supplement to bupivacaine spinal anesthesia. DESIGN:Randomized double-blind study. SETTING:Gynecological surgery, teaching hospital. PATIEN...
journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0952-8180(00)00171-9
更新日期:2000-08-01 00:00:00
abstract::The author presents the use of noninvasive positive pressure ventilation using bilevel positive airway pressure (BiPAP) to treat respiratory insufficiency and hypoxemia in three patients in the postanesthesia care unit. BiPAP improved respiratory function with a decreased respiratory rate, decreased PaCO2, and improve...
journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章
doi:10.1016/s0952-8180(00)00172-0
更新日期:2000-08-01 00:00:00
abstract::Continuous interscalene brachial plexus blockade can provide anesthesia and analgesia in the shoulder region. Difficulty accessing the interscalene space and premature displacement of interscalene catheters may preclude their use in certain situations. We present two case reports in which a catheter was advanced from ...
journal_title:Journal of clinical anesthesia
pub_type: 杂志文章
doi:10.1016/s0952-8180(00)00184-7
更新日期:2000-09-01 00:00:00
abstract:STUDY OBJECTIVE:To assess the analgesic efficacy and perioperative opioid-sparing effects of adjuvant intravenous (IV) diclofenac. DESIGN:Prospective, controlled, double-blind study. SETTING:Large referral hospital. PATIENTS:40 ASA physical status I, II, and III geriatric patients (>65 years) undergoing open reducti...
journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0952-8180(00)00212-9
更新日期:2000-11-01 00:00:00
abstract::We report a case of an unusual breathing circuit leak in the Narkomed 4 Anesthesia System due to a loose retaining ring at the junction of the expiratory valve assembly and the Spiromed Respiratory Volume Monitor. In the presence of the leak, the monitor panel displayed the messages "apnea volume" and "minute volume l...
journal_title:Journal of clinical anesthesia
pub_type: 杂志文章
doi:10.1016/s0952-8180(00)00241-5
更新日期:2001-02-01 00:00:00
abstract::We report a 65-year-old male who developed severe methemoglobinemia only on reexposure to benzocaine. The patient needed two awake fiberoptic intubations for emergency surgeries. On the second exposure, the patient was septic and malnourished, and he was taking acetaminophen. He developed a methemoglobin level of 55%....
journal_title:Journal of clinical anesthesia
pub_type: 杂志文章
doi:10.1016/s0952-8180(01)00222-7
更新日期:2001-03-01 00:00:00
abstract:STUDY OBJECTIVE:To compare the Laryngeal Mask Airway (LMA; The Laryngeal Mask Airway Co., Ltd., Nicosia, Cyprus) insertion conditions produced by 6 and 8 microg/mL of target plasma concentrations (Cpt) during the induction of anesthesia with target-controlled infusion (TCI) of propofol. DESIGN:Randomized, prospective,...
journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0952-8180(01)00237-9
更新日期:2001-05-01 00:00:00
abstract::Acute fulminant cardiovascular beriberi is an acute thiamine deficiency, which, if not recognized and treated, can lead to high cardiac output failure and death. The symptoms of acute thiamine deficiency include severe lactacidemia, and the presence of a high cardiac output and extremely low oxygen consumption in a pa...
journal_title:Journal of clinical anesthesia
pub_type: 杂志文章
doi:10.1016/s0952-8180(01)00246-x
更新日期:2001-05-01 00:00:00
abstract:STUDY OBJECTIVE:To determine if pretreatment with either gallamine or mivacurium before succinylcholine in children is associated with reduction in fasciculations; postoperative myalgias; or serum levels of potassium, creatinine phosphokinase (CPK), and myoglobin. DESIGN:Prospective, randomized, double-blinded study. ...
journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0952-8180(01)00267-7
更新日期:2001-06-01 00:00:00
abstract:STUDY OBJECTIVE:To evaluate the efficacy of the combination of epidural ketamine and morphine compared with epidural morphine alone for postoperative pain relief following major upper abdominal surgery. STUDY DESIGN:Prospective, randomized, double-blinded study. SETTING:Tertiary care referral and teaching hospital. ...
journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0952-8180(01)00278-1
更新日期:2001-08-01 00:00:00
abstract::This case conference reports two cases of epidural anesthesia in which air was used to identify the epidural space during a loss-of-resistance placement technique. Both patients subsequently complained of severe pain and subdural air was demonstrated in case 1 by computed tomography and in case 2 by magnetic resonance...
journal_title:Journal of clinical anesthesia
pub_type: 杂志文章
doi:10.1016/s0952-8180(01)00272-0
更新日期:2001-08-01 00:00:00
abstract:STUDY OBJECTIVE:To examine the effects of small doses of prostaglandin E(1) (PGE(1)) on systemic hemodynamics and cerebral oxygenation during cardiopulmonary bypass(CPB). DESIGN:Randomized, prospective study. SETTING:Cardiac surgery at Saitama Cardiovascular and Pulmonary Center. PATIENTS:Forty patients who underwen...
journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0952-8180(01)00293-8
更新日期:2001-09-01 00:00:00
abstract:STUDY OBJECTIVE:To investigate the effectiveness of a structured preoperative education program in patients receiving patient-controlled analgesia (PCA). DESIGN:Randomized controlled trial. SETTING:University-affiliated hospital. PATIENTS:60 ASA physical status I and II women undergoing major gynecologic surgery. I...
journal_title:Journal of clinical anesthesia
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0952-8180(01)00304-x
更新日期:2001-09-01 00:00:00