Book Synopsis COULD THE ULTRASOUND-GUIDED QUADRATUS LUMBORUM BLOCK TYPE 2 BE AN EFFECTIVE TECHNIQUE FOR POSTOPERATIVE ANALGESIA IN LAPAROSCOPIC SURRENECTOMY ? A CASE REPORT by :
Download or read book COULD THE ULTRASOUND-GUIDED QUADRATUS LUMBORUM BLOCK TYPE 2 BE AN EFFECTIVE TECHNIQUE FOR POSTOPERATIVE ANALGESIA IN LAPAROSCOPIC SURRENECTOMY ? A CASE REPORT written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Aims:Recent evidences suggested that posterior approaches to the transversus abdominis plane (TAP) block may provide effective postoperative analgesia in laparoscopic abdominal surgery. The ultrasound-guided Quadratus lumborum block type 2 (US-QLB 2) is a novel technique which could be an effective method for postoperative pain relief in these procedures. To test this hypothesis we performed US-QLB 2 in a patient underwent laparoscopic surrenectomy.Methods:A 62-years-old man,BMI 42 Kg/m2 , ASA 3, was scheduled to undergo laparoscopic surrenectomy for an aldosterone-producing adenoma, causing renal insufficiency and vascular damage subsequent to long-term uncontrolled hypertension.Written informed consent was obtained. After induction of general anaesthesia, with the patient in lateral position, we performed US-QLB 2 by injecting 20 ml of 0,5% Levobupicaine in the fascial plane between the quadratus lumborum and latissimus dorsi muscles. Before the end of surgery, 1 g of acetaminophen and Ketorolac 30 mg were intravenously administered. ResultsIntraoperative hemodynamic stability was obtained. In the first 24 hours after surgery, patient reported a prolonged pain relief. Only 3 g of acetaminophen and ketorolac 90 mg were administered, without opioids needing. No discomfort and complications were recorded postoperatively. Conclusions:This case report suggested that US-QLB 2 could provide long-lasting analgesia improving visceral pain control, likely due to extension of local anaesthetic into the paravertebral space. Further studies should be needed to confirm if this technique will be considered a safe and effective method for postoperative analgesia in laparoscopic surrenectomy.