scholarly journals Quadratus lumborum block in pediatric patients - a case series

2021 ◽  
pp. 34-34
Author(s):  
Nada Pejcic ◽  
Radomir Mitic ◽  
Ivana Nikolic ◽  
Neeti Sadana ◽  
Ivan Velickovic
Keyword(s):  
Pain Management ◽  
Pediatric Patients ◽  
Open Appendectomy ◽  
Case Series ◽  
Postoperative Pain Management ◽  
Management Plan ◽  
Quadratus Lumborum Block ◽  
Quadratus Lumborum ◽  
International Teaching ◽  
Perioperative Pain Management

Introduction. The quadratus lumborum block (QLB) was the first interfascial plane block introduced in Leskovac General Hospital thanks to the international teaching Kybele Inc. program in April 2017. Outline of cases. During the period from April 2017 to December 2019, 22 pediatric patients underwent various surgical procedures and had the QLB type 1 block as a part of a multimodal perioperative pain management plan. Unilateral QLB was provided for unilateral inguinal hernia repair, orchidopexy, testicular torsion repair, and open appendectomy. Bilateral QLB was provided for laparoscopic appendectomy and cholecystectomy. Decreased use of fentanyl and sevoflurane was noticed in the cases when QLB was performed preoperatively. All patients had well-controlled pain. Conclusion. QLB is a simple and safe technique. Clear sonographic landmarks allow it to be easily performed. QLB has great potential to improve and facilitate postoperative pain management.

POSTOPERATIVE ANALGESIA IN KIDNEY TRANSPLANT LAPAROTOMY: QUADRATUS LUMBORUM BLOCK AS AN ALTERNATIVE

2020 ◽  
pp. 33-38
Author(s):  
DITA ADITIANINGSIH ◽  
PRYAMBODHO ◽  
RONALD CHRISTIAN AGUSTINUS ARITONANG ◽  
ERIKA SASHA ADIWONGSO
Keyword(s):  
Kidney Transplantation ◽  
Pain Management ◽  
Kidney Transplant ◽  
Postoperative Analgesia ◽  
Postoperative Pain Management ◽  
Controlled Study ◽  
Transplant Patients ◽  
Quadratus Lumborum Block ◽  
Quadratus Lumborum ◽  
Postoperative Morphine

Objective: Effective postoperative pain management promotes better recovery. Continuous epidural (CE) is the standard postoperative analgesia for kidney transplantation; however, patients still report pain and unfavorable side effects. This present study compares the effectiveness of quadratus lumborum block (QLB) versus CE for managing pain and reducing morphine requirements following kidney transplantation. Methods: This randomized-controlled study compared 37 kidney transplant patients: a QLB group (N=19) who received 20 ml 0.375% ropivacaine injection bilaterally and a CE group (N=18) who received 0.2% ropivacaine epidurally by infusion at 6 ml/h. Participants were assessed at 2, 6, 12, and 24h postoperatively for morphine requirements and with a visual analogue scale (VAS) for pain while resting and moving. Results: The VAS scores when resting and moving were similar for both QLB and CE at all-time points (p>0.05 for both treatments). Postoperative morphine requirements also did not differ (p>0.05) between the two groups at any time point. Both groups had similar first-time morphine requirements (802.63 min for QLB vs 871.39 min for CE, p=0.814). Both groups achieved 100% blockade at the level of T10–L1 and had comparable Bromage and Ramsay scores. Conclusion: QLB appears to be a viable alternative approach to CE for pain management after kidney transplantation.

scholarly journals Anaesthesia and Postoperative Analgesia Performed by Insertion of a Perineural Catheter at the Brachial Plexus Site - Case Series

2015 ◽  
Vol 61 (3) ◽  
pp. 241-244
Author(s):  
Lazar Alexandra ◽  
Szederjesi Janos ◽  
Copotoiu Sanda Maria ◽  
Simon Noemi Szidonia ◽  
Badea Iudita ◽  
...  
Keyword(s):  
Pain Management ◽  
Side Effects ◽  
Brachial Plexus ◽  
Postoperative Analgesia ◽  
Postoperative Period ◽  
Case Series ◽  
Postoperative Pain Management ◽  
Perineural Catheter ◽  
Plexus Block ◽  
Systemic Drug

Abstract Postoperative pain management is of major importance and the existence of a device that ensures a good analgesia in the immediate postoperative period and also removes the side effects of the systemic drugs, is becoming a necessity. Objectives: The goal was to obtain a good quality anaesthesia and also a good postoperative analgesia by inserting a perineural catheter at the brachial plexus site. Material and method: This study included adult patients who underwent brachial plexus anaesthesia through a perineural catheter inserted at the brachial plexus site. The perineural catheter was introduced by ultrasound guidance with neurostimulation control. After insertion, a quantity of a an-aesthetic admixture of 0.4mg/kg is administered. The anaesthetic admixture contained Ropivacaine and Lidocaine, equimolar concentration of 0.5% In the postoperative period, the analgesia was ensured trough the already installed catheter. The analgesic mixture contained Ropivacaine and Lidocaine, equivalent concentrations of 0.25%. The administration rate was 5 ml every 4 hours, starting 6 hours postoperatively. Results: The anaesthesia, obtained through the perineural catheter, was a good quality anaesthesia ensuring both, good sensory and motor block. The feedback regarding postoperative analgesia was positive, this type of pain management being efficient and without the systemic drug side effects. This approach of brachial plexus block was accepted easily by the patients and was rated as a very satisfactory method. Conclusions: The insertion of a perineural catheter for anaesthesia and postoperative analgesia represents a safe and efficient method of achieving both analgesia and anaesthesia.

scholarly journals Rhomboid intercostal and subserratus plane block -a case series-

2020 ◽  
Vol 73 (6) ◽  
pp. 550-556 ◽  
Author(s):  
Hesham Elsharkawy ◽  
Hassan Hamadnalla ◽  
Ece Yamak Altinpulluk ◽  
Rodney A. Gabriel
Keyword(s):  
Pain Management ◽  
Abdominal Surgery ◽  
Case Series ◽  
Randomized Control Trials ◽  
Satisfaction Rate ◽  
Analgesic Regimen ◽  
High Satisfaction ◽  
Perioperative Pain Management ◽  
High Satisfaction Rate ◽  
Randomized Control

Background: The rhomboid intercostal and subserratus plane (RISS) block is a new interfascial block technique that has shown promising results for abdominal and thoracic surgeries. Our objective was to describe the improved analgesia and dermatomal coverage in patients who received bilateral RISS blocks after a major abdominal surgery.Case: Twenty-one patients who underwent abdominal surgery received the rhomboid intercostal component of the block at the T5 to T6 levels, and the subserratus component block was performed at the T6 to T9 levels.The RISS blocks provided effective postoperative analgesia. There was a variation in the dermatomal coverage ranging from T3 to T12. Patients reported a high satisfaction rate from pain management. Conclusions: The RISS block in abdominal surgery seems to have an important role in perioperative pain management, complementing the multimodal analgesic regimen. To determine the efficacy of the RISS block for abdominal surgery, we need further randomized control trials.

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