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

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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.

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