QUALITY OF RECOVERY AFTER ANESTHESIA IN ABDOMINAL HYSTERECTOMIES WITH FASCIAL PLANE BLOCKS: A PROSPECTIVE COHORT STUDY

Background. Studies show conflicting results for different types of anesthesia in abdominal hysterectomies. There is a lack of published comparative studies where included data about different types of fascial plane blocks in abdominal hysterectomies, and the quality of recovery after such type of surgery is established rarely. The aim of the study was to assess the level of recovery quality (using QoR-15 -quality of recovery questionnaire) after anesthesia for abdominal hysterectomies with the QL-block and the ESP-block in addition to general anesthesia. Materials and methods. 48 patients who required abdominal hysterectomy were included. All patients were divided into two groups. In both groups general anesthesia was used. In addition, the ESP-block was performed preoperatively in group I, and the anterior QL-block was performed in group II. Stages: preoperative period (pre), intraoperative period (h0 ) and 6 hours (h6 ), 12 hours (h12), 24 hours (h24), 48 hours (h48), 72 hours (h72) after surgery. We checked the quality of recovery after anesthesia with QoR-15, level of pain according to the VAS, intraoperative need for fentanyl (μg/hour), daily need for morphine (mg/day), dexketoprofen and paracetamol prescribing were examined. Results and discussion. It was found that the quality of recovery after anesthesia was 124 [92; 131] points in the 1st group and 129 [90; 132] points in 2nd group (p>0,05). The level of pain according to the VAS in group I at h6 and h12 was 5.5 [4.0; 9.0] and 4.5 [3.5; 7.5] points, while in group II – 5.7 [4.1; 9.0] and 4.6 [3.6; 7.3] points, respectively (p>0.05). In the h0 stage of the study, the dosage of fentanyl in group II was 500 [300; 700] μg/h, while in group I it was 400 [300; 700] μg/h (p>0.05). The need for morphine at the h24 stage was the same – 5.0 [5.0; 10.0] mg/day in group I and 5.0 [5.0; 10.0] mg/day in group II. At the h48 stage there was a tendency for higher doses of dexketoprofen in the group I – 100 [75; 150] mg/day, while in group II – 75 [50; 150] mg/day (p>0.05). Conclusion. It was established that the quality of recovery after anesthesia using ESP-block and QL-block was from the «satisfactory» to the «good» level with no statistical differences within the groups.