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.
Renal Transplantation: An Update for Anaesthetists
Abstract: Renal transplantation (RTx) is well established as the optimal method of renal replacement therapy (RRT); however the imbalance between organ supply and demand has led to increased numbers of organs coming from...
Anesthesiologists as Operating Room Directors: Results of a Survey
Background: Many ideas have gone into the development of the concept of the Perioperative Surgical Home (PSH) and Enhanced Recovery after Surgery (ERAS). Many anesthesiologists have advocated for an increased role in ope...
Integrated Pulmonary Index: A New Strategy for Respiratory Patients Evaluation
Purpose: We presented a study of the importance of integrated pulmonary index (IPI) correlated with arterial blood gas analysis in the respiratory management of the patient (surgical or internal medicine) recovering in i...
Treatment-Resistant Severe Hypothermia in an Infant Caused by the AirSealĀ® Insufflator
The valveless trocar system is a novel insufflator that circulates carbon dioxide in the abdominal cavity. Herein, we report an infant with severe hypothermia due to use of this insufflator. An 83-day-old infant (body we...
Which Guidance Method during Tracheotomy Procedure in Patients with Short Neck in the ICU?: A Prospective Randomized Study
Purpose: Utilization of fiber optic video bronchoscope (F) alone vs. in combination with ultrasound (U + F) during tracheotomy procedures for patients with remarkable short necks. Materials and methods: Nineteen patient...