Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website https://www.jocmr.org

Original Article

Volume 15, Number 2, February 2023, pages 84-89


Quadratus Lumborum Blockade for Postoperative Analgesia in Infants and Children Following Colorectal Surgery

Figure

Figure 1.
Figure 1. Postoperative opioid requirement (a), opioid administrations (b), and pain scores (c). Data show the median values and interquartile range. MME: morphine milligram equivalent.

Tables

Table 1. Demographic Data of the Study Cohort (n = 163)
 
IQR: interquartile range; SD: standard deviation.
Gender, n (%)
  Female83 (50.9)
  Male80 (49.1)
Race, n (%)
  Asian20 (12.4)
  Black23 (14.3)
  Hispanic13 (8.1)
  Other10 (6.2)
  White95 (59.0)
Mean age, years (SD)4.7 (5.2)
Median age, years (IQR)2.4 (0.8 - 6.7)
Mean weight, kg (SD)18.6 (16.8)
Mean height, cm (SD)96.3 (34.0)
Mean body mass index (SD)16.9 (3.2)
Preoperative diagnosis, n (%)
  Chronic pain or neuropathy7 (4)
  Vertebral anomalies16 (10)
  Anorectal malformation68 (42)
  Chronic anticoagulation1 (0.6)
Surgery type, n (%)
  Creation/revision/closure of ostomy137 (84)
  Mitrofanoff/Malone6 (3.7)
  Herniorrhaphy4 (2.6)
  Transanal pull through4 (2.6)
  Gastrostomy tube placement2 (1.3)
  Other abdominal surgery10 (6.1)

 

Table 2. QLB Characteristics
 
IQR: interquartile range; QLB: quadratus lumborum block.
Total number of blocks, n204
QLB laterality, n (%)
  Bilateral41 (25.2)
  Unilateral122 (74.8)
QLB medication, n (%)
  0.05% ropivacaine1 (0.6)
  0.1% ropivacaine11 (6.7)
  0.2% ropivacaine85 (52.1)
  0.25% bupivacaine7 (4.3)
  0.25% ropivacaine2 (1.2)
  0.3% ropivacaine1 (0.6)
  0.5% ropivacaine56 (34.4)
QLB complications noted, n (%)
  No159 (100)
QLB success, n (%)
  No2 (1.2)
  Yes161 (98.8)
Median procedure time, min (IQR)5 (4 - 9)
Median ropivacaine dose, mg/kg (IQR)1.9 (1.3 - 2.6)
Median bupivacaine dose, mg/kg (IQR)2.5 (2.0 - 2.6)
Median ropivacaine volume, mL/kg (IQR)0.6 (0.5 - 1.0)
Median bupivacaine volume, mL/kg (IQR)1.0 (0.8 - 1.0)