Ultrasound-guided Transmuscular Quadratus Lumborum (TQL) Block for Pain Management after Caesarean Section
Journal Title: International Journal of Anesthetics and Anesthesiology - Year 2016, Vol 3, Issue 2
Abstract
The ultrasound-guided transmuscular quadratus lumborum (TQL) block performed in the lumbar paravertebral region exerts its effect by spreading into the thoracic paravertebral space with blockade of both somatosensory and visceral nerves of the abdominal and retroperitoneal region. We discovered an inadequate management of post-operative pain by the conventional analgesic regimen among caesarean section patients in our hospital. In this report we present three cases where the TQL block is demonstrated as an effective tool of opioid sparing, pre-emptive anaesthesia as well as rescue analgesia. We propose the use of TQL block as a safe and reliable alternative to transversus abdominis plane block, paravertebral block and epidural blockade.
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Ultrasound-guided Transmuscular Quadratus Lumborum (TQL) Block for Pain Management after Caesarean Section
The ultrasound-guided transmuscular quadratus lumborum (TQL) block performed in the lumbar paravertebral region exerts its effect by spreading into the thoracic paravertebral space with blockade of both somatosensory and...