Ultrasound guided quadratus lumborum block for analgesia after cesarean delivery: case series
Abstract Introduction: The majority of women having planned cesarean section receive spinal anesthesia for the procedure. Typically, spinal opioids are administered during the same time as a component of multimodal analgesia to provide pain relief in the 16-24 h period postoperatively. The quadratus lumborum block is a regional analgesic technique that blocks T5-L1 nerve branches and has an evolving role in postoperative analgesia for lower abdominal surgeries and may be a potential alternative to spinal opioids. If found effective, it will have the advantage of a reduction in opioid associated adverse effects while providing similar quality of analgesia. Methods: We performed bilateral quadratus lumborum block in 3 women who received a spinal anesthetic for a cesarean delivery and evaluated their post-operative opioid consumption and patient satisfaction. Results: In all 3 patients, there was no additional opioid consumption during the first 24 h after the block. Numeric Rating Scale (NRS) for pain was less than 6 for the first 24 h. Women were all very satisfied with the quality of pain relief. Discussion: Quadratus lumborum block may be a promising anesthetic adjuvant for post-cesarean analgesia. Further randomized controlled trials are needed to compare the efficacy of the quadratus lumborum block with intrathecal opioids.
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Sociedade Brasileira de Anestesiologia
2017
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oai:scielo:S0034-709420170004004182018-02-01Ultrasound guided quadratus lumborum block for analgesia after cesarean delivery: case seriesSebbag,IlanaQasem,FatemahDhir,Shalini Quadratus lumborum block Cesarean delivery Multimodal analgesia Abstract Introduction: The majority of women having planned cesarean section receive spinal anesthesia for the procedure. Typically, spinal opioids are administered during the same time as a component of multimodal analgesia to provide pain relief in the 16-24 h period postoperatively. The quadratus lumborum block is a regional analgesic technique that blocks T5-L1 nerve branches and has an evolving role in postoperative analgesia for lower abdominal surgeries and may be a potential alternative to spinal opioids. If found effective, it will have the advantage of a reduction in opioid associated adverse effects while providing similar quality of analgesia. Methods: We performed bilateral quadratus lumborum block in 3 women who received a spinal anesthetic for a cesarean delivery and evaluated their post-operative opioid consumption and patient satisfaction. Results: In all 3 patients, there was no additional opioid consumption during the first 24 h after the block. Numeric Rating Scale (NRS) for pain was less than 6 for the first 24 h. Women were all very satisfied with the quality of pain relief. Discussion: Quadratus lumborum block may be a promising anesthetic adjuvant for post-cesarean analgesia. Further randomized controlled trials are needed to compare the efficacy of the quadratus lumborum block with intrathecal opioids.info:eu-repo/semantics/openAccessSociedade Brasileira de AnestesiologiaRevista Brasileira de Anestesiologia v.67 n.4 20172017-07-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000400418en10.1016/j.bjane.2015.11.005 |
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Sebbag,Ilana Qasem,Fatemah Dhir,Shalini |
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Sebbag,Ilana Qasem,Fatemah Dhir,Shalini Ultrasound guided quadratus lumborum block for analgesia after cesarean delivery: case series |
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Sebbag,Ilana Qasem,Fatemah Dhir,Shalini |
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Sebbag,Ilana |
title |
Ultrasound guided quadratus lumborum block for analgesia after cesarean delivery: case series |
title_short |
Ultrasound guided quadratus lumborum block for analgesia after cesarean delivery: case series |
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Ultrasound guided quadratus lumborum block for analgesia after cesarean delivery: case series |
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Ultrasound guided quadratus lumborum block for analgesia after cesarean delivery: case series |
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Ultrasound guided quadratus lumborum block for analgesia after cesarean delivery: case series |
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ultrasound guided quadratus lumborum block for analgesia after cesarean delivery: case series |
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Abstract Introduction: The majority of women having planned cesarean section receive spinal anesthesia for the procedure. Typically, spinal opioids are administered during the same time as a component of multimodal analgesia to provide pain relief in the 16-24 h period postoperatively. The quadratus lumborum block is a regional analgesic technique that blocks T5-L1 nerve branches and has an evolving role in postoperative analgesia for lower abdominal surgeries and may be a potential alternative to spinal opioids. If found effective, it will have the advantage of a reduction in opioid associated adverse effects while providing similar quality of analgesia. Methods: We performed bilateral quadratus lumborum block in 3 women who received a spinal anesthetic for a cesarean delivery and evaluated their post-operative opioid consumption and patient satisfaction. Results: In all 3 patients, there was no additional opioid consumption during the first 24 h after the block. Numeric Rating Scale (NRS) for pain was less than 6 for the first 24 h. Women were all very satisfied with the quality of pain relief. Discussion: Quadratus lumborum block may be a promising anesthetic adjuvant for post-cesarean analgesia. Further randomized controlled trials are needed to compare the efficacy of the quadratus lumborum block with intrathecal opioids. |
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Sociedade Brasileira de Anestesiologia |
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2017 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000400418 |
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