Continuous postoperative analgesia via quadratus lumborum block - an alternative to transversus abdominis plane block

Paediatr Anaesth. 2013 Oct;23(10):959-61. doi: 10.1111/pan.12240. Epub 2013 Aug 9.

Abstract

Different transversus abdominis plane blocks techniques cause variations in postoperative analgesia characteristics. We report the use of unilateral quadratus lumborum catheter for analgesia following colostomy closure. The catheter was placed under direct ultrasound visualization and had good outcomes: low pain scores and minimal use of rescue analgesic medication. No complications were reported in this pediatric patient. More studies are needed to evaluate the effectiveness and safety of this regional anesthesia technique.

Keywords: acute; child; local anesthetic; pain; regional; ultrasound.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Muscles* / diagnostic imaging
  • Acetaminophen / therapeutic use
  • Analgesia / methods*
  • Analgesics, Non-Narcotic / therapeutic use
  • Analgesics, Opioid / therapeutic use
  • Anesthesia, General
  • Child, Preschool
  • Colostomy
  • Female
  • Humans
  • Lumbosacral Region* / diagnostic imaging
  • Morphine / therapeutic use
  • Nerve Block*
  • Neuromuscular Blockade*
  • Pain, Postoperative / drug therapy*
  • Postanesthesia Nursing
  • Postoperative Care
  • Rectum / injuries
  • Ultrasonography, Interventional
  • Wounds, Nonpenetrating

Substances

  • Analgesics, Non-Narcotic
  • Analgesics, Opioid
  • Acetaminophen
  • Morphine