SažetakBlokovi trbušnog zida su uvedeni u kliničku praksu pre če-trdeset godina. Njihova popularnost dobija na značaju u poslednjoj dekadi, zahvaljujući uvođenju jednostavne, efikasne, ultrazvučno , koji su svoje glavno mesto imali u pedijatrijskoj anesteziji. Prvih godina XXI veka na scenu stupa transversus abdominis plane (TAP) blok, sa znatno širim poljem analgezije 6,7 . Isprva su izvođeni slepom metodom. Međutim, ove tehnike se vremenom razvijaju i svoju ekspanziju dostižu
Introduction. The quadratus lumborum block (QLB) was the first interfascial
plane block introduced in Leskovac General Hospital thanks to the
international teaching Kybele Inc. program in April 2017. Outline of cases.
During the period from April 2017 to December 2019, 22 pediatric patients
underwent various surgical procedures and had the QLB type 1 block as a part
of a multimodal perioperative pain management plan. Unilateral QLB was
provided for unilateral inguinal hernia repair, orchidopexy, testicular
torsion repair, and open appendectomy. Bilateral QLB was provided for
laparoscopic appendectomy and cholecystectomy. Decreased use of fentanyl and
sevoflurane was noticed in the cases when QLB was performed preoperatively.
All patients had well-controlled pain. Conclusion. QLB is a simple and safe
technique. Clear sonographic landmarks allow it to be easily performed. QLB
has great potential to improve and facilitate postoperative pain management.
The study examines ascribed, financial, and college factors to predict study abroad participation among high-achieving scholarship students from adverse backgrounds. Based on a sample of sophomore-, junior-, and senior-year participants of a national scholarship program, results show that despite increased participation among this group compared to national averages, finances remain a predominant concern. These students --individuals from diverse, low-resourced backgrounds --provide a counterpoint to the narrative that study abroad participation is the province of the privileged provided that they have access to grant aid. Given the importance of study abroad to 21 st century learning outcomes, this study points to the importance of attracting to study abroad those for whom the college experience marks a significant break from the adverse conditions of their youth.
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