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Ultrasound-guided anterior and posterior quadratus lumborum block for analgesia after laparoscopic hysterectomy
Laparoscopic procedures are now preferred over open surgeries, and total laparoscopic hysterectomy is becoming increasingly popular. Quadratus lumborum (QL) block is an evolving technique for abdominal surgeries that blocks T5–L1 nerve branches. We used a combination of anterior and posterior QL blo...
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| Published in: | Pain management (London) 2021-01, Vol.11 (1), p.5-8 |
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| cites | cdi_FETCH-LOGICAL-c348t-67e41e8e4c23b56b0f6c4fce13fb5a07129bdf10ac99e4504d76b84af596a14d3 |
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| container_title | Pain management (London) |
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| creator | Singh, Neha Rao, Parnandi Bhaskar Elayat, Anirudh |
| description | Laparoscopic procedures are now preferred over open surgeries, and total laparoscopic hysterectomy is becoming increasingly popular. Quadratus lumborum (QL) block is an evolving technique for abdominal surgeries that blocks T5–L1 nerve branches.
We used a combination of anterior and posterior QL block given bilaterally in two patients and evaluated perioperative opioid consumption, postoperative pain score and patient satisfaction.
There was reduced perioperative opioid consumption along with postoperative visual analog scale for pain over the first 24 h. Both patients appreciated the level and standard of pain relief.
QL block is promising as a part of multimodal analgesia for laparoscopic abdominal surgeries. Further studies are needed to determine the best possible combination of different approaches to QL block. |
| doi_str_mv | 10.2217/pmt-2020-0008 |
| format | article |
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We used a combination of anterior and posterior QL block given bilaterally in two patients and evaluated perioperative opioid consumption, postoperative pain score and patient satisfaction.
There was reduced perioperative opioid consumption along with postoperative visual analog scale for pain over the first 24 h. Both patients appreciated the level and standard of pain relief.
QL block is promising as a part of multimodal analgesia for laparoscopic abdominal surgeries. Further studies are needed to determine the best possible combination of different approaches to QL block.</description><identifier>ISSN: 1758-1869</identifier><identifier>EISSN: 1758-1877</identifier><identifier>DOI: 10.2217/pmt-2020-0008</identifier><language>eng</language><publisher>London: Future Medicine Ltd</publisher><subject>Abdomen ; Analgesics ; Case reports ; Consent ; Fentanyl ; General anesthesia ; Hysterectomy ; Laparoscopy ; Likert scale ; multimodal analgesia ; Pain ; Patient satisfaction ; postoperative pain ; Postoperative period ; Surgery ; total laparoscopic hysterectomy ; Ultrasonic imaging ; ultrasound-guided quadratus lumborum block ; Urogenital system</subject><ispartof>Pain management (London), 2021-01, Vol.11 (1), p.5-8</ispartof><rights>2020 Future Medicine Ltd</rights><rights>Copyright Future Medicine Ltd Jan 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c348t-67e41e8e4c23b56b0f6c4fce13fb5a07129bdf10ac99e4504d76b84af596a14d3</citedby><cites>FETCH-LOGICAL-c348t-67e41e8e4c23b56b0f6c4fce13fb5a07129bdf10ac99e4504d76b84af596a14d3</cites><orcidid>0000-0003-2013-4295 ; 0000-0002-2731-5657</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Singh, Neha</creatorcontrib><creatorcontrib>Rao, Parnandi Bhaskar</creatorcontrib><creatorcontrib>Elayat, Anirudh</creatorcontrib><title>Ultrasound-guided anterior and posterior quadratus lumborum block for analgesia after laparoscopic hysterectomy</title><title>Pain management (London)</title><description>Laparoscopic procedures are now preferred over open surgeries, and total laparoscopic hysterectomy is becoming increasingly popular. Quadratus lumborum (QL) block is an evolving technique for abdominal surgeries that blocks T5–L1 nerve branches.
We used a combination of anterior and posterior QL block given bilaterally in two patients and evaluated perioperative opioid consumption, postoperative pain score and patient satisfaction.
There was reduced perioperative opioid consumption along with postoperative visual analog scale for pain over the first 24 h. Both patients appreciated the level and standard of pain relief.
QL block is promising as a part of multimodal analgesia for laparoscopic abdominal surgeries. Further studies are needed to determine the best possible combination of different approaches to QL block.</description><subject>Abdomen</subject><subject>Analgesics</subject><subject>Case reports</subject><subject>Consent</subject><subject>Fentanyl</subject><subject>General anesthesia</subject><subject>Hysterectomy</subject><subject>Laparoscopy</subject><subject>Likert scale</subject><subject>multimodal analgesia</subject><subject>Pain</subject><subject>Patient satisfaction</subject><subject>postoperative pain</subject><subject>Postoperative period</subject><subject>Surgery</subject><subject>total laparoscopic hysterectomy</subject><subject>Ultrasonic imaging</subject><subject>ultrasound-guided quadratus lumborum block</subject><subject>Urogenital system</subject><issn>1758-1869</issn><issn>1758-1877</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kL1PwzAUxCMEEhV0ZI_EHLBjx05GVPElVWKhs-XYz8UliVN_DP3vSUjFxvTupN87nS7L7jB6KEvMH8c-FiUqUYEQqi-yFeZVXeCa88s_zZrrbB3CYSJQxXCD2Spzuy56GVwadLFPVoPO5RDBW-cnofPRhbM7Jqm9jCnkXepb51Oft51T37n5RWW3h2BlLs3E550cpXdBudGq_Os0Z4CKrj_dZldGdgHW53uT7V6ePzdvxfbj9X3ztC0UoXUsGAeKoQaqStJWrEWGKWoUYGLaSiKOy6bVBiOpmgZohajmrK2pNFXDJKaa3GT3S-7o3TFBiOLgkp9aBlFSXhNCMSETVSyUmsoGD0aM3vbSnwRGYp5VTLOKeVYxzzrxzcKbFJOHoCwMCsTietBW2QH--f0BnAaBvg</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Singh, Neha</creator><creator>Rao, Parnandi Bhaskar</creator><creator>Elayat, Anirudh</creator><general>Future Medicine Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>EHMNL</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><orcidid>https://orcid.org/0000-0003-2013-4295</orcidid><orcidid>https://orcid.org/0000-0002-2731-5657</orcidid></search><sort><creationdate>20210101</creationdate><title>Ultrasound-guided anterior and posterior quadratus lumborum block for analgesia after laparoscopic hysterectomy</title><author>Singh, Neha ; Rao, Parnandi Bhaskar ; Elayat, Anirudh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c348t-67e41e8e4c23b56b0f6c4fce13fb5a07129bdf10ac99e4504d76b84af596a14d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abdomen</topic><topic>Analgesics</topic><topic>Case reports</topic><topic>Consent</topic><topic>Fentanyl</topic><topic>General anesthesia</topic><topic>Hysterectomy</topic><topic>Laparoscopy</topic><topic>Likert scale</topic><topic>multimodal analgesia</topic><topic>Pain</topic><topic>Patient satisfaction</topic><topic>postoperative pain</topic><topic>Postoperative period</topic><topic>Surgery</topic><topic>total laparoscopic hysterectomy</topic><topic>Ultrasonic imaging</topic><topic>ultrasound-guided quadratus lumborum block</topic><topic>Urogenital system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Singh, Neha</creatorcontrib><creatorcontrib>Rao, Parnandi Bhaskar</creatorcontrib><creatorcontrib>Elayat, Anirudh</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>UK & Ireland Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Pain management (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Singh, Neha</au><au>Rao, Parnandi Bhaskar</au><au>Elayat, Anirudh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ultrasound-guided anterior and posterior quadratus lumborum block for analgesia after laparoscopic hysterectomy</atitle><jtitle>Pain management (London)</jtitle><date>2021-01-01</date><risdate>2021</risdate><volume>11</volume><issue>1</issue><spage>5</spage><epage>8</epage><pages>5-8</pages><issn>1758-1869</issn><eissn>1758-1877</eissn><abstract>Laparoscopic procedures are now preferred over open surgeries, and total laparoscopic hysterectomy is becoming increasingly popular. Quadratus lumborum (QL) block is an evolving technique for abdominal surgeries that blocks T5–L1 nerve branches.
We used a combination of anterior and posterior QL block given bilaterally in two patients and evaluated perioperative opioid consumption, postoperative pain score and patient satisfaction.
There was reduced perioperative opioid consumption along with postoperative visual analog scale for pain over the first 24 h. Both patients appreciated the level and standard of pain relief.
QL block is promising as a part of multimodal analgesia for laparoscopic abdominal surgeries. Further studies are needed to determine the best possible combination of different approaches to QL block.</abstract><cop>London</cop><pub>Future Medicine Ltd</pub><doi>10.2217/pmt-2020-0008</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0003-2013-4295</orcidid><orcidid>https://orcid.org/0000-0002-2731-5657</orcidid></addata></record> |
| fulltext | fulltext |
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| ispartof | Pain management (London), 2021-01, Vol.11 (1), p.5-8 |
| issn | 1758-1869 1758-1877 |
| language | eng |
| recordid | cdi_proquest_journals_2478334133 |
| source | PubMed Central |
| subjects | Abdomen Analgesics Case reports Consent Fentanyl General anesthesia Hysterectomy Laparoscopy Likert scale multimodal analgesia Pain Patient satisfaction postoperative pain Postoperative period Surgery total laparoscopic hysterectomy Ultrasonic imaging ultrasound-guided quadratus lumborum block Urogenital system |
| title | Ultrasound-guided anterior and posterior quadratus lumborum block for analgesia after laparoscopic hysterectomy |
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