CASE REPORT
Year : 2020  |  Volume : 14  |  Issue : 3  |  Page : 406-408

Bilateral continuous posterior quadratus lumborum block for analgesia after open abdominal surgery: A prospective case series


1 Department of General Anesthesia; Department of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio, USA
2 Department of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio, USA
3 Department of General Anesthesia, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio, USA
4 Department of Cardiothoracic Anesthesiology, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA

Correspondence Address:
Dr. Wael Ali Sakr Esa
9500 Euclid Avenue/Desk E31. Cleveland, Ohio - 44195
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.SJA_796_19

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The quadratus lumborum (QL) block provides analgesia to the abdominal wall while sparing the side effects of neuraxial blocks. We describe a case series of eight patients treated with a continuous infusion of local anesthetic via bilateral posterior QL catheters infusion block for analgesia after abdominal surgeries. We found that the median duration of the procedure was 26 min and the median opioid consumption over the first postoperative 72 h was 110 mg of morphine equivalents. The bilateral continuous posterior QL block is a feasible analgesic intervention and can be considered as a component of multimodal analgesic pathways.


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