Quadratus lumborum block (QLB)

Pejčić, Nada; Mitic, Radomir; Pujic, Borislava; Velickovic, Marko Z.; Veličković, Ivan

doi:10.5937/sjait1708187p

Cited by 2 publications

(3 citation statements)

References 15 publications

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“…QLB is the ultrasound-guided local anesthetic injection in quadratus lumborum plane (Figure 1). It was described as a variant of the transversus abdominis plane (TAP) block by Dr. Rafael Blanco in 2007 [3]. Dr. Michaela Visoiu was the first one who used it for pain management following colon surgery in pediatric patient in 2013 [5].…”

Section: Discussionmentioning

confidence: 99%

“…QLB can be learned relatively easily. It is a simple technique to perform due to clear sonographic markers [3] (Figure 1).…”

Section: Discussionmentioning

confidence: 99%

“…Quadratus lumborum block (QLB) was the first interfascial plane block that was introduced in Leskovac General Hospital in April 2017 [2]. It became a part of a multimodal pain management plan following abdominal, obstetric, gynecologic, and urologic surgery in adults and pediatric patients [3,4].…”

Section: Introductionmentioning

confidence: 99%

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Quadratus lumborum block in pediatric patients - a case series

Pejčić¹,

Mitic²,

Nikolić³

et al. 2021

Srp Arh Celok Lek

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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.

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Section: Discussionmentioning

confidence: 99%

“…QLB can be learned relatively easily. It is a simple technique to perform due to clear sonographic markers [3] (Figure 1).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Quadratus lumborum block in pediatric patients - a case series

Pejčić¹,

Mitic²,

Nikolić³

et al. 2021

Srp Arh Celok Lek

Self Cite

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Initiation of an Enhanced Recovery After Cesarean Delivery Protocol in a University Hospital in Serbia: A randomized comparison with existing management

Pujic

Vejnnovic

Jovanovic

et al. 2023

PMJUA

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Background: Enhanced Recovery After Surgery (ERAS) programs have been introduced in many areas of clinical practice in recent years, to improve the patient’s recovery, increase patient satisfaction and shorten length of hospital stay. This study investigated feasibility of an ERAS protocol after cesarean delivery in a system where long-acting neuraxial opioids are not available. Materials and Methods: 200 parturients were randomly assigned to either an enhanced recovery group (E) or a control group (C) receiving standard care. After delivery, parturients in group E received ultrasound guided quadratus lumborum block. On the day of surgery, both groups received intravenous analgesia. On the first post-operative day, patients in group E transitioned to oral analgesics, while group C continued intravenous analgesia. On the second post-operative day, both groups received oral analgesics. Data collected included total dose of analgesics used in the first 24 hours; pain scores at rest and with movement; patient satisfaction; and length of hospital stay. Six weeks after surgery, parturients received a questionnaire for postpartum depression assessment. Results: Group E reported better pain control with lower pain scores in all times (at rest and with movement), which was statistically significant, as was patient satisfaction. Conclusion: Enhanced recovery protocols after cesarean delivery can improve postoperative recovery in low- and middle-income countries where long-acting neuraxial opioids may not be available. Protocols need to be individually tailored for each institution in coordination with the health care system.

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Quadratus lumborum block (QLB)

Cited by 2 publications

References 15 publications

Quadratus lumborum block in pediatric patients - a case series

Quadratus lumborum block in pediatric patients - a case series

Initiation of an Enhanced Recovery After Cesarean Delivery Protocol in a University Hospital in Serbia: A randomized comparison with existing management

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