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논문 기본 정보

자료유형
학술저널
저자정보
Insun Park (Seoul National University Bundang Hospital) Jae Hyon Park (The Armed Forces Daejeon Hospital) Hyun-Jung Shin (Seoul National University Bundang Hospital) Hyo-Seok Na (Seoul National University Bundang Hospital) Bon-Wook Koo (Seoul National University Bundang Hospital) Jung-Hee Ryu (Seoul National University Bundang Hospital) Ah-Young Oh (Seoul National University Bundang Hospital)
저널정보
대한통증학회 The Korean Journal of Pain The Korean Journal of Pain Vol.37 No.1
발행연도
2024.1
수록면
59 - 72 (14page)
DOI
10.3344/kjp.23268

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초록· 키워드

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Background: This study assessed the postoperative analgesic efficacy and safety of the quadratus lumborum block (QLB) in pediatric patients. Methods: Electronic databases were searched for studies comparing the QLB to conventional analgesic techniques in pediatric patients. The primary outcome was the need for rescue analgesia 12 and 24 hours after surgery. Secondary outcomes covered the Face-Legs-Activity-Cry-Consolability Scale (FLACC) scores at various time points; parental satisfaction; time to the first rescue analgesia; hospitalization time; block execution time; block failure rates, and adverse events. Results: Sixteen randomized controlled trials were analyzed involving 1,061 patients. The QLB significantly reduced the need for rescue analgesia both at 12 and 24 hours after surgery (12 hours, relative risk [RR]: 0.45; 95% confidence interval [CI]: 0.01, 0.88; 24 hours, RR: 0.51; 95% CI: 0.31, 0.70). In case of 24 hours after surgery, type 1 QLB significantly reduced the need for rescue analgesia (RR: 0.56; 95% CI: 0.36, 0.76). The QLB also exhibited lower FLACC scores at 1 hour (standardized mean difference [SMD]: –0.87; 95% CI: –1.56, –0.18) and 6 hours (SMD: –1.27; 95% CI: –2.33, –0.21) following surgery when compared to non-QLB. Among QLBs, type 2 QLB significantly extended the time until the first rescue analgesia (SMD: 1.25; 95% CI: 0.84, 1.67). No significant differences were observed in terms of parental satisfaction, hospitalization time, block execution time, block failure, or adverse events between QLB and non-QLB groups. Conclusions: The QLB provides non-inferior analgesic efficacy and safety to conventional methods in pediatric patients.

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