Combined quadratus lumborum block and lumbar plexus block for a pediatric patient undergoing Ilizarov procedure

Yörükoğlu, Ufuk H.; Gürkan, Yavuz

doi:10.1016/j.jclinane.2018.06.002

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…In PQ group, LPB combined with TQLB at L3 will be administered [ 25 ]. After LPB at L3 with Shamrock approach is performed as above (25 mL of 0.375% ropivacaine), the needle will be pulled back to the subcutaneous tissue, redirected and advanced through the QLM until the tip of the needle is located at the inter-fascial plane of the QLM and the PM (Fig.…”

Section: Methodsmentioning

confidence: 99%

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The anesthetic efficacy of ultrasound-guided lumbar plexus combined with quadratus lumborum block with Shamrock approach in total hip arthroplasty: study protocol for a randomized controlled trial

Wang,

Zhang,

Chen

et al. 2023

Trials

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Introduction The lumbar plexus originates from multiple segments of the spinal cord. Both single-level lumbar plexus block (LPB) and transmuscular quadratus lumborum block (TQLB) are commonly used to provide analgesia for the patients undergoing total hip arthroplasty (THA). However, neither of them can completely cover the lumbar plexus. Multiple-level LPB is also not recommended since this expert technique involves more potential risks. To achieve a better anesthetic effect and avoid risks, we propose to combine ultrasound-guided LPB with TQLB with Shamrock approach. We aim to assess the anesthetic efficacy of this combination technique and expect it will be an ideal alternative for conventional LPBs in THA. Methods and analysis In this prospective randomized controlled trial, 84 patients schedule for THA will be enrolled. The patients will be randomly assigned at a 1:1:1 ratio to receive LPB at L3 level (P group), T12 paravertebral block combined with LPB at L3 and L4 levels (TP group), or LPB combined with TQLB at L3 level (PQ group). Each method will be evaluated in terms of the successful rate of sensory blockade, postoperative pain, performance time of block, requirement for intraoperative sufentanil, cumulative doses of intraoperative vasoactive medications, and adverse events. Ethics and dissemination The study protocol has been approved by the institutional review board (IRB) at Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, China (No.2020–031). The results will be disseminated in a peer-reviewed journal and the ClinicalTrials.gov registry. Trial registration ClinicalTrials.gov, NCT04266236. Registered on 10 February 2020. ClinicalTrials.gov PRS: Record Summary NCT04266236.

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Section: Methodsmentioning

confidence: 99%

“…Therefore, based on these observed outcomes, we consider to combine Shamrock approach LPB with TQLB at L3 level. This combination method has been proved effective in lower limb surgery in two pediatric case studies [ 24 , 25 ]. However, its anesthetic efficacy in THA remains unproven.…”

Section: Introductionmentioning

confidence: 99%

The anesthetic efficacy of ultrasound-guided lumbar plexus combined with quadratus lumborum block with Shamrock approach in total hip arthroplasty: study protocol for a randomized controlled trial

Wang,

Zhang,

Chen

et al. 2023

Trials

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“…Combined lumbar-sacral plexus block (CLSB) has been introduced as a peripheral regional anaesthesia method in HF surgery. 5 , 6 …”

Section: Introductionmentioning

confidence: 99%

Combined Lumbar-Sacral Plexus Block in Facioscapulohumeral Muscular Dystrophy for Hip Fracture Surgery: A Case Report

Manici,

Kalyoncu,

Gedik

et al. 2024

TJAR

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Facioscapulohumeral muscular dystrophy (FSHD) is a muscular dystrophy that can affect individuals of all age groups. Its prevalence is reported to be 0.4-1 in 10,000 people. Because of the low occurrence of FSHD, anaesthetic management is primarily based on expert opinions, case reviews, or brief series. Here, we present the case of a 72-year-old woman with FSHD who underwent hip fracture (HF) surgery. To prevent respiratory compromise due to FSHD, we opted for lumbar-sacral plexus block. To the best of our knowledge, there is no information in the literature regarding the use of combined lumbar-sacral plexus block in patients with FSHD undergoing HF surgery.

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L4-to-L4 nerve root transfer for hindlimb hemiplegia after hypertensive intracerebral hemorrhage

Qian

Zheng

Ma³

et al. 2022

Neural Regen Res

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Combined quadratus lumborum block and lumbar plexus block for a pediatric patient undergoing Ilizarov procedure

Cited by 3 publications

References 4 publications

The anesthetic efficacy of ultrasound-guided lumbar plexus combined with quadratus lumborum block with Shamrock approach in total hip arthroplasty: study protocol for a randomized controlled trial

The anesthetic efficacy of ultrasound-guided lumbar plexus combined with quadratus lumborum block with Shamrock approach in total hip arthroplasty: study protocol for a randomized controlled trial

Combined Lumbar-Sacral Plexus Block in Facioscapulohumeral Muscular Dystrophy for Hip Fracture Surgery: A Case Report

L4-to-L4 nerve root transfer for hindlimb hemiplegia after hypertensive intracerebral hemorrhage

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