Hypotension associated to a bilateral quadratus lumborum block performed for post-operative analgesia in an open aortic surgery case

Almeida, Carlos Rodrigues; Assunção, José Pedro

doi:10.1016/j.bjane.2018.05.002

Cited by 7 publications

(5 citation statements)

References 5 publications

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“…30 Bilateral sympathetic block caused by the paravertebral spread of local anesthetic particularly in QL1 block can cause hypotension. 31 However, none of our patients in either group had any block related complications.…”

Section: Discussionmentioning

confidence: 58%

Quadratus lumborum or transversus abdominis plane block for postoperative analgesia after cesarean: a double-blinded randomized trial

Jadon

Amir

Sinha

et al. 2022

Brazilian Journal of Anesthesiology (English Edition)

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Section: Discussionmentioning

confidence: 58%

Quadratus lumborum or transversus abdominis plane block for postoperative analgesia after cesarean: a double-blinded randomized trial

Jadon

Amir

Sinha

et al. 2022

Brazilian Journal of Anesthesiology (English Edition)

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“…In human medicine, hypotension secondary to bilateral QLB has been described in two case reports [22,23]. The authors speculated that this complication was related to a bilateral paravertebral extension of the QLB leading to an associated sympathetic block, resulting in a long-lasting vasodilation.…”

Section: Discussionmentioning

confidence: 99%

“…In human medicine, hypotension secondary to bilateral QLB has been reported in two case reports [22,23]. In veterinary medicine, transient respiratory arrest and retroperitoneal hematoma have been described as complications of bilateral QLB in dogs [24,25].…”

Section: Introductionmentioning

confidence: 99%

Postoperative Analgesic Effect of Bilateral Quadratus Lumborum Block (QLB) for Canine Laparoscopic Ovariectomy: Comparison of Two Concentrations of Ropivacaine

Degani,

Di Franco,

Tayari

et al. 2023

Animals

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The aim of this study was to evaluate the effect of the transverse quadratus lumborum block (QLBLQL-T) on time to the first postoperative rescue analgesia in dogs submitted to laparoscopic ovariectomy. A total of twenty-three female dogs were included. Dogs were randomly assigned to receive a bilateral QLBLQL-T, performed either with 0.3 mL kg−1 ropivacaine 0.5% [group QLB0.5% (n = 8)] or with ropivacaine 0.33% [group QLB0.33% (n = 8)] or a fentanyl-based protocol [group No-QLB (n = 7)]. Dogs were premedicated intravenously (IV) with fentanyl 5 mcg kg−1, general anesthesia was induced IV with propofol and maintained with sevoflurane. Invasive mean arterial pressure (MAP) values were recorded five minutes before and five minutes after performing the QLBLQL-T. The short-form of the Glasgow composite measure pain scale was used every hour after extubation, and methadone 0.2 mg kg−1 was administered IV when pain score was ≥5/24. Kolmogorov–Smirnov test, ANOVA test combined with Tukey post hoc test, Student’s T-test and Chi-square test were used to analyze data; p < 0.05. Time from QLBLQL-T to the first rescue analgesia was significantly longer in QLB0.5% than in group QLB0.33% and No-QLB. MAP pre- and post-block decreased significantly only in group QLB0.33%.

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“…QLB is a peripheral nerve blockade technique that generates an analgesic effect by blocking the spinal nerves from T6–T9 to L1–L3, which may provide somatic and visceral analgesia. 1 , 2 …”

Section: Introductionmentioning

confidence: 99%

Bilateral quadratus lumborum block for management of persistent postoperative paralytic ileus: a case report

Almeida

Cunha

2021

Brazilian Journal of Anesthesiology (English Edition)

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Hypotension associated to a bilateral quadratus lumborum block performed for post-operative analgesia in an open aortic surgery case

Cited by 7 publications

References 5 publications

Quadratus lumborum or transversus abdominis plane block for postoperative analgesia after cesarean: a double-blinded randomized trial

Quadratus lumborum or transversus abdominis plane block for postoperative analgesia after cesarean: a double-blinded randomized trial

Postoperative Analgesic Effect of Bilateral Quadratus Lumborum Block (QLB) for Canine Laparoscopic Ovariectomy: Comparison of Two Concentrations of Ropivacaine

Bilateral quadratus lumborum block for management of persistent postoperative paralytic ileus: a case report

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