Elsevier

Journal of Clinical Anesthesia

Volume 42, November 2017, Pages 93-94
Journal of Clinical Anesthesia

Correspondence
Laparoscopic guided continuous type 1 quadratus lumborum block — “Sindwani technique with case series”

https://doi.org/10.1016/j.jclinane.2017.08.023Get rights and content

Highlights

  • Laparoscopic guided continuous quadratus lumborum block by Sindwani Technique

  • A new technique of giving quadratus lumborum block

  • Effective for pain management in patients undergoing laparoscopic nephrectomy

  • Case series of five cases

Section snippets

Informed consent

Written informed consent was obtained from the patient.

Conflict of interests

No conflict of interest was declared by the authors.

Financial disclosure

The authors declared that this study has received no financial support.

This manuscript has been read and approved by all authors.

Acknowledgement

I would like to thanks Mr. Pramod for helping me with the images.

References (5)

There are more references available in the full text version of this article.

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    Our results showed that the pre-operative ultrasound-guided posteromedial QL block significantly lowered postoperative morphine consumption in the first 24 h postoperatively and decreased pain intensity at least from 8 to 24 h in the setting of multimodal analgesia, compared with a pre-operative lateral TAP block, in patients undergoing laparoscopic colorectal surgery. Available data regarding QL block application for surgery involving both the upper and lower abdomen are from case reports, case series, and small studies [14–18]. The results of our study were consistent with the available limited data.

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    The local anesthetic can extend into the paravertebral space providing effective somatic and visceral pain relief [72]. Several reports have described various techniques of performing the block such as the Sindwani technique for laparoscopic nephrectomy [73], the anterior sub-costal method for lower abdominal surgery [74], the ‘Gaurav-Aditi’ technique [75], the paramedian sagittal oblique approach [76], transmuscular posterior approach [77], continuous analgesia via catheter for open nephrectomy [78] and lumbar spinal fusion [79,80]. Ishio et al. compared bilateral ultrasound-guided posterior quadratus lamborum (UG-QLB) blocks (20 mL of 0.375% ropivacaine) to normal saline in patients undergoing laparoscopic gynecological surgery under general anesthesia [81].

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