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.
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...
Extubating Techniques for the Difficult Airway
Abstract: PACU or ICU patients generally require reintubation for two main reasons-inadequate airway patency (extubation failure) and residual need for mechanical support (weaning failure). Such events are relatively com...
Are Advertisement Claims in Anaesthetic Journals based on High-Quality Evidence?
Background: Many medical journals contain advertisements for pharmaceuticals products. While the WHO demands that claims in pharmaceutical advertisements should be based on scientific evidence, past investigations demons...
The Evaluation of 1-Physician Versus 2-Physician Deep Sedation with Propofol
Background: Emergency physicians routinely perform emergency department procedural sedation (EDPS) with propofol and its safety is well established. However, in 2009 the Centers for Medicare and Medicaid Services (CMS) e...
Trachway Intubating Stylet Facilitates the Double-Lumen Endobronchial Tube Placement in Patients with Limited Mouth Opening
Intubation for one lung ventilation in patients with difficult airways can be a challenge. Severely limited mouth opening restricts the use of direct laryngoscopy or video-assisted laryngoscopy. We present two patients w...