Novel Regional Anesthesia for Outpatient Surgery

Lam, David; King, Hanna M.; Credaroli, Ellesse; Harmon, Emily; Vadivelu, Nalini

doi:10.1007/s11916-019-0809-6

Cited by 21 publications

(16 citation statements)

References 94 publications

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“…Therefore, anterior QLB may provide analgesia not only to the trunk but also to the lower extremities from T10 to L4 [19,21]. For this reason, anterior QLB has been considered as a motorsparing alternative to lumbar plexus block [22]. The nociceptors of the hip capsule are mainly situated in the anterolateral part of the capsule, which is innervated by the femoral and obturator nerves [23].…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Anterior Quadratus Lumborum Block Reduces Postoperative Opioid Consumption and Related Side Effects in Patients Undergoing Total Hip Replacement Arthroplasty: A Propensity Score-Matched Cohort Study

Kim

et al. 2021

JCM

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Quadratus lumborum block (QLB) has been shown to be effective for pain relief after hip surgery. This study evaluated the efficacy of ultrasound-guided anterior QLB in pain control after total replacement hip arthroplasty (TRHA). A total of 115 patients receiving anterior QLB were propensity score-matched with 115 patients who did not receive the block. The primary outcome was opioid consumption at 24, 24–48, and 48 postoperative hours. Secondary outcomes included pain scores at the post-anesthesia care unit (PACU), 8, 16, 24, 32, 40, and 48 h length of hospital stay, time to first ambulation, and the incidence of opioid-related side effects. Postoperative opioid consumption 48 h after surgery was significantly lower in the QLB group. Resting, mean, worst, and the difference of resting pain scores compared with preoperative values were significantly lower in the QLB group during the 48 postoperative hours. The length of hospital stay was shorter in the QLB group. The incidence of postoperative nausea and vomiting was significantly lower in the QLB group during the 48 postoperative hours, except at the PACU. This study suggests that anterior QLB provides effective postoperative analgesia for patients undergoing THRA performed using the posterolateral approach.

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Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Anterior Quadratus Lumborum Block Reduces Postoperative Opioid Consumption and Related Side Effects in Patients Undergoing Total Hip Replacement Arthroplasty: A Propensity Score-Matched Cohort Study

Kim

et al. 2021

JCM

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“…Although with high volume there is a chance of motor dysfunction when local anaesthetic spreads into the sciatic nerve. Furthermore, there is a risk of popliteal artery puncture [4].…”

Section: Infiltration Between the Popliteal Artery And Capsule Of The...mentioning

confidence: 99%

“…With the advances in regional anaesthesia techniques and the ultrasound-guided development, which aids in optimal nerve identification and block (Table 1), the benefits of regional anaesthesia (RA) in the outpatient setting should be explored. Indeed, modern, ultrasound-guided regional anaesthesia has several advantages such as reduced local anaesthetics used, a reduction/avoidance in manipulation of the airway, reduced recovery time and lower postoperative pain sensation [4]. With this in mind, RA offers better perioperative analgesia, less postoperative nausea and vomiting (PONV) in combination with PONV prophylaxis, a faster discharge time and a lower hospital admission rate in the ambulatory setting [5][6][7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Regional anaesthesia: what surgical procedures, what blocks and availability of a “block room”?

Nanda

Velde

2022

Current Opinion in Anaesthesiology

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Purpose of reviewWith an expected rise in day care procedures with enhanced recovery programs, the use of specific regional anaesthesia can be useful. In this review, we will provide insight in the used regional block and medication so far known and its applicability in a day care setting. Recent findingsRegional anaesthesia has been improved with the aid of ultrasound-guided placement. However, it is not commonly used in the outpatient setting. Old, short acting local anaesthetics have found a second life and may be especially beneficial in the ambulatory setting replacing more long-acting local anaesthetics such as bupivacaine. To improve efficiency, a dedicated block room may facilitate the performance of regional anaesthesia. However, cost-efficacy for improved operating time, patient care and hospital efficiency has to be established.

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“…Performing several surgeries in outpatient setting not only reduces healthcare costs but also increases patients' satisfaction due to same day discharge after the procedure [1]. Regional intravenous anesthesia, spinal and epidural block, peripheral nerve block, topical and local anesthesia are commonly utilized in anesthesia of outpatient surgical procedures [2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Comparison of spinal versus caudal epidural anesthesia in the management of patients undergoing ambulatory perianal surgery: Randomized, prospective study

et al. 2021

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Novel Regional Anesthesia for Outpatient Surgery

Cited by 21 publications

References 94 publications

Ultrasound-Guided Anterior Quadratus Lumborum Block Reduces Postoperative Opioid Consumption and Related Side Effects in Patients Undergoing Total Hip Replacement Arthroplasty: A Propensity Score-Matched Cohort Study

Ultrasound-Guided Anterior Quadratus Lumborum Block Reduces Postoperative Opioid Consumption and Related Side Effects in Patients Undergoing Total Hip Replacement Arthroplasty: A Propensity Score-Matched Cohort Study

Regional anaesthesia: what surgical procedures, what blocks and availability of a “block room”?

Comparison of spinal versus caudal epidural anesthesia in the management of patients undergoing ambulatory perianal surgery: Randomized, prospective study

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