Ultrasound-guided quadratus lumborum block for postoperative analgesia in a pediatric patient
The quadratus lumborum block (QLB) is a newly described block providing successful, safe, and long-lasting analgesia with the guidance of ultrasound. The QLB allows local anesthetic to spread posterior to the quadratus lumborum muscle and expand beyond the middle layer of the thoracolumbar fascia and paravertebral space. We present our experience with the use of an unilateral QLB to provide postoperative analgesia in a 3-year-old pediatric patient weighing 14 kg who underwent a unilateral inguinal hernia repair. His family was satisfied with the general status and pain cessation in the patient.
Çocuk olguda postoperatif analjezi için uygulanan ultrason rehberliğinde quadratus lumborum bloğu
Quadratus lumborum yeni tanımlanan başarılı, güvenli, ve uzun analjezi sağlayan ultrason rehberliğinde yapılan bir bloktur. Quadratus lumborum bloğu lokal anestezik maddenin quadratus lumborum kasının posteriorundan torakalumbar fasyanın orta katına ve paravertebral alana yayılmasına izin verir. Biz quadratus lumborum bloğu ile başarılı bir postoperatif analjezi sağladığımız tek taraflı inguinal herni operasyonu geçiren 3 yaşında 14 kilo çocuk hastayı sunacağız. Hastanın ailesi hastanın genel durumundan ve ağrısızlığından memnun kaldılar.
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Visoiu M, Yakovleva N. Continuous postoperative analgesia via quadratus lumborum block - an alternative to transversus abdominis plane block. Paediatr Anaesth 2013;23(10):959–61.
Blanco R, Ansari T, Girgis E. Quadratus lumborum block for postoperative pain after caesarean section: A randomised controlled trial. Eur J Anaesthesiol 2015;32(11):812–8.
Blanco R, McDonnell JG. Optimal point of injection: the quadratus lumborum type I and II blocks. Available at: http:// www.respond2articles.com/ANA/forums/post/1550.aspx. Accessed June 13, 2019.
Chakraborty A, Goswami J, Patro V. Ultrasound-guided continuous quadratus lumborum block for postoperative analgesia in apediatric patient. A A Case Rep 2015;4(3):34–6.
Baidya DK, Maitra S, Arora MK, Agarwal A. Quadratus lumborum block: an effective method of perioperative analgesia in childrenundergoing pyeloplasty. J Clin Anesth 2015;27(8):694–6.
Blanco R, Ansari T, Riad W, Shetty N. Quadratus Lumborum Block Versus Transversus Abdominis Plane Block for Postoperative PainAfter Cesarean Delivery: A Randomized Controlled Trial. Reg Anesth Pain Med 2016;41(6):757–62.