Continuous postoperative analgesia via quadratus lumborum block - an alternative to transversus abdominis plane block.
Different transversus abdominis plane blocks techniques cause variations in postoperative analgesia characteristics. We report the use of unilateral quadratus lumborum catheter for analgesia following colostomy closure. The catheter was placed under direct ultrasound visualization and had good outcomes: low pain scores and minimal use of rescue analgesic medication. No complications were reported in this pediatric patient. More studies are needed to evaluate the effectiveness and safety of this regional anesthesia technique.
Department of Anesthesiology, Acute Interventional Perioperative Pediatric Postoperative Pain Service, Children's Hospital of University of Pittsburgh Medical Center (UPMC), Pittsburgh, PA 15224, USA. m_visoiu@yahoo.com
Mihaela
M
Visoiu
Nataliya
N
Yakovleva
D000009:Abdominal Muscles / Q000000981:diagnostic imaging; D000082:Acetaminophen / Q000627:therapeutic use; D000698:Analgesia / Q000379:methods*; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use; D000701:Analgesics, Opioid / Q000627:therapeutic use; D000768:Anesthesia, General; D002675:Child, Preschool; D003125:Colostomy; D005260:Female; D006801:Humans; D008161:Lumbosacral Region / Q000000981:diagnostic imaging; D009020:Morphine / Q000627:therapeutic use; D009407:Nerve Block; D019148:Neuromuscular Blockade; D010149:Postoperative Pain / Q000188:drug therapy*; D016528:Postanesthesia Nursing; D011182:Postoperative Care; D012007:Rectum / Q000293:injuries; D018084:Ultrasonography, Interventional; D014949:Wounds, Nonpenetrating
D018712:Analgesics, Non-Narcotic; D000701:Analgesics, Opioid; D000082:Acetaminophen; D009020:Morphine
acute; child; local anesthetic; pain; regional; ultrasound