Book Synopsis QUADRATUS LUMBORUM BLOCK FOR POSTOPERATIVE ANALGESIA AFTER ABDOMINAL SURGERY IN INFANT PATIENTS: A CASE SERIES. by :
Download or read book QUADRATUS LUMBORUM BLOCK FOR POSTOPERATIVE ANALGESIA AFTER ABDOMINAL SURGERY IN INFANT PATIENTS: A CASE SERIES. 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 aimsEffective post-laparotomy analgesia is a well-recognised challenge in infant patients. In addition to intravenous opioids various regional analgesic techniques are used, such as epidural blocks with recognised risks and technical difficulties. The recently intro- duced quadratus lumborum block (QLB)1 ap- pears to be an effective analgesic technique after abdominal surgery in adult patients2,3. In this case series we report encouraging re- sults using QLB as postoperative analgesia in infant patients who have undergone open abdominal surgery.MethodsThe data of infant patients who had undergone open abdominal surgery with QLB as regional analgesia was reviewed. In included patients perioperative care followed standard princi- ples: operation was performed under general anesthesia with intravenous fentanyl boluses 1-2 u03bcg/kg for analgesia. Patients received in- travenous dexamethasone bolus 0,1-0,25 mg/ kg intraoperatively. Ultrasound-guided QLB (type 2) was performed preoperatively after anesthesia induction, Figure 1 and 2. Postop- eratively paracetamol was used regularly and intravenous or peroral opioid (oxycodone or morphine) was available as rescue analgesia. Opioid consumption was reviewed until hos- pital discharge.ResultsFive infant patients were included in this se- ries. Patient characteristics, details of QLB performed and opioid consumption are pre- sented in Table 1 and 2. Overall the need for rescue analgesia was minimal. No complica- tions or side effects were detected.ConclusionsQLB appears to be an effective regional an- algesic technique for postoperative analgesia also in infant patients after open abdominal surgery. Larger prospective studies will be required to establish its efficacy and safety.