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Postoperative Analgesia by Transmuscular Quadratus Lumborum Block Catheters-Juniper Publishers

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Juniper Publishers - Journal of Anesthesia Abstract 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. Keywords: Local anaesthetic; ropivacaine; Postoperative analgesia; Quadratus lumborum blocks; type-1, 2 and transmuscular (type-3); Truncal blocks; Ultrasound guided blocks Introduction 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 mor...