Post‑operative analgesia with focus on ultrasound‑guided transmuscular quadratus lumborum block after total hip arthroplasty

Abstract

A significant number of patients who undergo total hip arthroplasty (THA) commonly encounter intense acute pain during the initial postoperative phase. Optimal management of pain following surgery can facilitate prompt engagement in rehabilitation and enhance patient satisfaction. Alternatively, if not handled, patients may experience persistent discomfort and impairment, leading to a diminished quality of life. The utilization of transmuscular quadratus lumborum block (TQLB) resulted in enhanced post-operative analgesics for hip and proximal femoral operations, as compared to the usual intravenous analgesics. Individuals who received QLB during primary THA surgery under general or spinal anesthesia experienced a reduction in post-operative opioid need and post-operative pain score.