Type II Quadratus Lumborum block for a sub-total gastrectomy in a septic patient

Cardoso, José Miguel; Sá, Miguel; Reis, Hugo; Almeida, Liliana; Sampaio, José; Pinheiro, Célia; Machado, Duarte

doi:10.1016/j.bjane.2015.08.009

Cited by 14 publications

(12 citation statements)

References 9 publications

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“…These two theories can also explain the prolonged blockage effect and visceral pain control achieved by QLB but not by TAP block [11]. Hence, QLB is a safe, effective, and reliable analgesic option for postoperative pain control after abdominal surgeries [23][24][25][26].…”

Section: Discussionmentioning

confidence: 98%

Ultrasound-guided bilateral quadratus lumborum block vs. intrathecal morphine for postoperative analgesia after cesarean section: a randomized controlled trial

Salama

2020

Korean J Anesthesiol

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Background: Adequate pain control after cesarean section (CS) is crucial for mothers caring for newborns, and early ambulation to avoid thromboembolism and chronic abdominal and pelvic pain. This randomized controlled trial compared the efficacy of quadratus lumborum block (QLB) and intrathecal morphine (ITM) for analgesia after CS. Methods: Ninety women at ≥ 37 weeks pregnancy scheduled for elective CS were enrolled. All patients received spinal anesthesia and post-operative QLB. They were randomly allocated to Control (anesthesia: 0.1 ml saline, QLB: 24 ml saline), ITM (anesthesia: 0.1 mg morphine, QLB: 24 ml saline), or QLB groups (anesthesia: 0.1 ml saline, QLB: 24 ml 0.375% ropivacaine). Integrated analgesia score (IAS) and numerical rating scale (NRS) scores at rest and during movement, morphine requirements in the first 48 h, time to first morphine dose and morphine-related side effects were recorded. Results: IASs and NRS scores at rest and during movement were significantly lower in QLB and ITM group than in Control group. Moreover, IASs and NRS scores at rest and during movement were lower in QLB group than in ITM group. Time to first morphine dose was significantly longer in QLB group than in ITM and Control group. Furthermore, morphine requirements in the first 48 h were significantly lower in QLB group than ITM and Control group. Incidence of morphine-related side effects was significantly higher in ITM group than in QLB and Control group. Conclusions: QLB and ITM are effective analgesic regimens after CS. However, QLB provides better long-lasting analgesia and reduced total postoperative morphine consumption.

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Section: Discussionmentioning

confidence: 98%

Ultrasound-guided bilateral quadratus lumborum block vs. intrathecal morphine for postoperative analgesia after cesarean section: a randomized controlled trial

Salama

2020

Korean J Anesthesiol

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“…Single injection QL block has been used successfully for the management of postoperative pain relief after caesarean section [12] for sub-total gastrectomy in a septic patient [13], laparotomy for duodenal tumour excision and to manage chronic back pain [14]. The effective pain relief lasted for 12-14hours.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Analgesia by Transmuscular Quadratus Lumborum Block Catheters

Jadon¹

2016

JAICM

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“…The efficacy of QLB for postoperative analgesia following both cesarean section ( 8 , 14 , 30 , 34 , 35 , 42 – 44 ) and gynecological laparoscopic procedures ( 25 , 36 ) was shown. Additionally, the efficacy of QLB for postoperative analgesia was shown after abdominal surgery [small intestine ( 26 ) and colon ( 11 , 27 ) resection, colostomy reconstruction ( 11 ), appendectomy ( 27 ), gastrectomy ( 45 )], and for analgesia for anterior abdominal wall hernioplasty ( 46 , 47 ) and orhcydopexy ( 47 ), both for open and laparoscopic procedures and for postoperative analgesia after open and laparoscopic nephrectomy ( 37 , 48 , 49 ).…”

Section: Indicationsmentioning

confidence: 99%

A Review of the Quadratus Lumborum Block and ERAS

Pejčić²,

2018

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The use of truncal nerve blocks has been described since 2001. Since then, there have been many studies trying to understand the ideal clinical scenarios for its use. Since 2001, the transversus abdominis plane block has evolved in many ways including from landmark based technique to ultrasound guided and more recently, into the quadratus lumborum (QL) block. Its anatomical placement, concentration of local anesthetic, volume of local anesthetic, and anatomic placement have all been raised as clinical questions. This article will discuss the literature of the QL block in an effort to understand how it is best used in a variety of clinical scenarios.

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Type II Quadratus Lumborum block for a sub-total gastrectomy in a septic patient

Cited by 14 publications

References 9 publications

Ultrasound-guided bilateral quadratus lumborum block vs. intrathecal morphine for postoperative analgesia after cesarean section: a randomized controlled trial

Ultrasound-guided bilateral quadratus lumborum block vs. intrathecal morphine for postoperative analgesia after cesarean section: a randomized controlled trial

Postoperative Analgesia by Transmuscular Quadratus Lumborum Block Catheters

A Review of the Quadratus Lumborum Block and ERAS

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