Postoperative Analgesia by Transmuscular Quadratus Lumborum Block Catheters - Juniper Publishers - Journal of Anesthesia & Intensive Care Medicine

Juniper Publishers - Open Access Journals


Postoperative Analgesia by Transmuscular Quadratus Lumborum Block Catheters

Authored by Ashok Jadon

Ultrasound guided Quadratus lumborum (QL) block is a relatively new regional anesthetic technique which provides effective postoperative analgesia for abdominal surgeries as a part of multimodal analgesic regimen. We report a case of hysterectomy where effective postoperative analgesia was provided by ultrasound guided bilateral QL-3 block and infusion of local anesthetic through catheters inserted postoperatively.

Postoperative analgesia is an integral part of successful surgical outcome. Epidural analgesia with catheter technique remains the most effective analgesic technique after abdominal surgery. However, it haslimitation in patients who are either on anticoagulants and have cardiac morbidity due to significant hemodynamic changes which may be detrimental to such patients [1,2]. Ultrasound guided Quadratus lumborum block (QLB) block is a new technique of regional analgesia [3,4]. There have been reports of excellent post-operative pain management with the QLB for both abdominal and retroperitoneal surgery [5,6]. However, postoperative analgesia by bilateral transmuscular quadratus lumborum blocks (TQLB) or QL-3 block with catheter is rarely reported. We present a case report where postoperative analgesia was provided by bilateral transmuscular quadratus lumborum blocks (TQLB) and infusion of local anaesthetics through inserting catheters ina patient who had cardiac disease and underwent hysterectomy operation.

For more Open Access Journals in Juniper Publishers please click on https://juniperpublishers.com/

For more articles on Journal of Anesthesia & Intensive Care Medicine please click on https://juniperpublishers.com/jaicm/index.php

To read more Journal of Clinical Anesthesia Research

To read more…FullText in Juniper Publishers Click on https://juniperpublishers.com/jaicm/JAICM.MS.ID.555562.php

Comments

Post a Comment

Popular posts from this blog

Supraorbital/Supratrochlear Nerve blocks: Clinical Significance of the Superior and Anterior Approaches-Juniper Publishers

Image
Juniper Publishers - Journal of Anesthesia Introduction Hair restoration is one of the commonest cosmetic surgery procedure in men [ 1 ]. The procedure is performed under local anaesthesia. Many of the patients are anxious about the degree of pain to be expected during and after the surgery. The pain of the local anaesthetic agent is dependent on various factors like needle gauge, composition, temperature, pH, speed of injection, anatomical structure/area etc. Various maneuvers are used to decrease the pain during the administration of local anaesthesia like vibration anaesthesia Cryotherapy etc [ 2 - 4 ]. With the introduction of newer drugs for local anaesthesia, the safety is increased. Peripheral nerve blocks constitute a major tool in the armamentarium in the office-based cosmetic surgery procedures. Supraorbital (SO) and supratrochlear (ST) nerve are the terminal branches of the frontal nerve [ 5 ]. These nerves supply mainly the skin of the forehead. These n...
Read more

Tourniquet Pain after Ultrasound-Guided Axillary Blockade-Juniper Publishers

Image
Juniper Publishers - Journal of Anesthesia Abstract Objective: To analyse tourniquet pain after ultrasound guided axillary block (AXB) as the sole anesthetic technique with no injection of local anaesthetic into the subcutaneous tissue of the posterior half of the axilla to prevent tourniquet pain. Material/patients and methods: 84 patients older than 18 years ASA I-IV undergoing surgery at hand, wrist, forearm and elbow under ultrasound guided AXB requiring upper arm tourniquet, we studied prospectively. Exclusion criteria included refusal to participate, communication problems, pre-existing neuropathy, coagulopathy or allergy to local anaesthetics. Tourniquet pain was assessed according to visual analogue scale (VAS) every 15 minutes. We also analysed differences in tourniquet pain between sedated and non-sedated patients. Main results: VAS was 0 during ischemia in 83 patients. One patient reported tourniquet pain. This was mild (VAS = 3) and reported duri...
Read more

Heerfordt's Syndrome: A New Atypical Clinical Presentation-Juniper Publishers

Image
Juniper Publishers - Journal of Anesthesia Abstract Heerfordt’s syndrome is an unusual clinical manifestation (less than 5%) of sarcoidosis, characterized by parotitis, uveitis, and peripheral facial palsy, febrile syndrome is usually associated. Oral corticosteroid is the treatment of choice. We report a case of a patient in which the syndrome of Heerfordt was retained. Keywords: Heerfordt’s syndrome, parotitis, uveitis, sarcoidosis, facial palsy. Introduction The sarcoidosis is a systemic granulomatosis of unknown cause, characterized by its clinical polymorphism and a wide variety of its modes of presentation. The combination of fever, uveitis, parotitis and peripheral facial paralysis defines Heerfordt’s syndrome which presents an unusual manifestation of this disease. We report a case of a patient in which the syndrome of Heerfordt was found. Case Report A 49 year-old female followed i...
Read more