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Papers of the Week


2020 Nov 11


Reg Anesth Pain Med

Quadratus lumborum block type 3 versus lumbar plexus block in hip replacement surgery: a randomized, prospective, non-inferiority study.

Authors

Polania Gutierrez JJ, Ben-David B, Rest C, Grajales M T, Khetarpal S K
Reg Anesth Pain Med. 2020 Nov 11.
PMID: 33177220.

Abstract

The posterior lumbar plexus block (LPB) has been used for decades to provide acute pain management after hip surgery. Unfamiliarity with the technique and its perceived difficulty, potential risks, and possible adverse effects such as quadriceps weakness have limited broader use. The quadratus lumborum block (QLB) has been reported to be effective for postoperative pain control following hip surgery and may thus offer another regional alternative for practitioners. This study hypothesized that the QLB type 3 (QLB3) can produce a non-inferior analgesic effect compared with LPB for primary hip replacement.