Ultrasound-guided anterior and posterior quadratus lumborum block for analgesia after laparoscopic hysterectomy.
Neha SinghParnandi Bhaskar RaoAnirudh ElayatPublished in: Pain management (2020)
Aim: Laparoscopic procedures are now preferred over open surgeries, and total laparoscopic hysterectomy is becoming increasingly popular. Quadratus lumborum (QL) block is an evolving technique for abdominal surgeries that blocks T5-L1 nerve branches. Methods: We used a combination of anterior and posterior QL block given bilaterally in two patients and evaluated perioperative opioid consumption, postoperative pain score and patient satisfaction. Results: There was reduced perioperative opioid consumption along with postoperative visual analog scale for pain over the first 24 h. Both patients appreciated the level and standard of pain relief. Conclusion: QL block is promising as a part of multimodal analgesia for laparoscopic abdominal surgeries. Further studies are needed to determine the best possible combination of different approaches to QL block.
Keyphrases
- ultrasound guided
- pain management
- chronic pain
- postoperative pain
- end stage renal disease
- robot assisted
- ejection fraction
- newly diagnosed
- fine needle aspiration
- patients undergoing
- peritoneal dialysis
- patient satisfaction
- cardiac surgery
- prognostic factors
- minimally invasive
- patient reported outcomes
- patient reported
- laparoscopic surgery