Training in regional anesthesia

Objectives: Quadratus Lumborum Block in contrast to Transversus Abdominis Plane Block contains a unique component which not only stops somatic pain but also inhibits visceral pain by spreading the local anesthetic to the paravertebral space. This study was designed to determine whether performing the Quadratus Lumborum Block type I in patients undergoing cesarean section would be associated with both decreased morphine consumption and decreased pain levels in the postoperative 48-hour period. Material and methods:Sixty patients undergoing caesarean section under spinal anesthesia were randomly and equally assigned to one or other of two groups: QLB I (who received Bilateral Quadratus Lumborum Block type I with the use of 24 mL 0.375% ropivacaine per side) or a Control group. In both groups, on-demand morphine analgesia was administered postoperatively within the first 48 hours. The following were measured: the morphine consumption; the time elapsed from the C-section until the first dose of morphine; and the levels of pain intensity among patients in rest (numeral pain rating scale).Results: There were no statistically significant demographic data differences between the QLB I and Control groups. The following significant differences were observed in the 48-hour postoperative period: morphine consumption was higher in the Control group (p = 0.000); the time elapsed from the C-section until the first dose of morphine was longer in QLB I group (p < 0.05); and the median of the pain numeric rating scale was higher in the Control group (p < 0.05). Conclusions:Quadratus Lumborum Block type I significantly reduces morphine consumption and pain levels up to 48 hours postoperatively.

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“…Thanks to the performance of ultrasound and the aspiration manoeuvre, safety of the procedure was significantly increased [9,34].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the effectiveness of the Quadratus Lumborum Block type I using ropivacaine in postoperative analgesia after a cesarean section — a controlled clinical study

et al. 2018

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A cadaveric analysis of anatomical variations of the musculocutaneous nerve

et al. 2022

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IntroductionVariations within musculocutaneus nerve (MCN) are very frequent. Such cases should be discussed extensively to reduce the risk of iatrogenic damage during surgery.AimIn this paper, we wanted to present the unusual variability within the brachial plexus, which is the double MCN.Case studyWe present a case of accesory MCN found during the cadaveric dissection.Results and discussionIn this paper we encountered two musculocutaneous nerves, of which MCN proper runs as standard innervating the biceps brachii and the coracobrachialis muscle, while MCN accessory extending distally from MCN proper and innervates the brachialis.ConclusionsThe case analysed by us is rare in the literature. Brachial plexus variations are very common and clinically important.

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Training in regional anesthesia

Cited by 2 publications

References 9 publications

Evaluation of the effectiveness of the Quadratus Lumborum Block type I using ropivacaine in postoperative analgesia after a cesarean section — a controlled clinical study

Evaluation of the effectiveness of the Quadratus Lumborum Block type I using ropivacaine in postoperative analgesia after a cesarean section — a controlled clinical study

A cadaveric analysis of anatomical variations of the musculocutaneous nerve

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