الفهرس 
REVIEW OF LITERATUREOnly 14 pages are availabe for public view
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Abstract
U
ltrasound (US)-guided quadratus lumborum block (QLB) and transversus abdominis plane block (TAP) are used as a part of multimodal analgesia for postoperative pain after cesarean delivery.
QLB group showed significantly better visual analog score (VAS) scores from 6 h till 24 h Postoperative. Time for the first request for morphine was significantly longer in the QLB group (10.47 ± 4.6 hrs) than in the TAP group (7.40± 1.5 hrs.), (p < 0.001 and its total consumption was lesser (p = 0.01) in the QLB group (4.30 ± 3.4 mg) than in TAP group (6.60 ± 3.4 mg).Moreover, only 3 patients (10%) in the QLB group experienced nausea and/or vomiting versus 10 (33.3%) in TAP group with significant value.
QLB was more effective in providing visceral and somatic pain analgesia after cesarean section in comparison to TAP block with less incidence of postoperative nausea and/or vomiting.
CONCLUSION
Q
LB was more effective in providing visceral and somatic pain analgesia after cesarean section in comparison to TAP block with less incidence of postoperative nausea and/or vomiting.
LIMITATIONS
O
ur study has some limitations; it didn’t address the common postoperative side effects such as the postoperative nausea and vomiting and the postoperative lower limb weakness and numbness.
Other limitations of our study are the lacking sensory level of both blocks and the small sample group it didn’t have enough power to assess the incidence of serious side effects as systemic local anesthetic toxicity, however some studies prove the safety of both blocks.
Another weakness of our study concerns the objectivity of postoperative pain measurement methods burdened by a multiplicity of personal factors.