Quadratus Lumborum Block After Cesarean Section: Analgesic Efficacy of Different Concentrations of Local Anesthetics

Launched by DANAT AL EMARAT HOSPITAL · Dec 1, 2022

Keywords

ClinConnect Summary

QLB is an injection of a local anesthetics around the quadratus lumborum muscle. It uses a fascial compartment path to extend the distribution of local anesthetics into the posterior abdominal wall and paravertebral space. Acute post C-section pain is a leading anesthetic concern for women; a key determinant of maternal satisfaction; may lead to persistent postoperative pain; is a predictor of postpartum depression; and can reduce early breastfeeding success. Effective postoperative analgesia should, therefore, be prioritized to improve outcomes following caesarean delivery. This study is a...

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • Participants who are American Society of Anesthesiologists physical status 1 or 2.
• • Participants who have singleton pregnancy at a gestation of at least 37 weeks.
• • Participant who are scheduled for elective caesarean section under spinal anesthesia.
• • Participants who are consented to be enrolled into the study.
• Exclusion Criteria:
• • Patients who have contraindications to spinal or regional anesthesia (Coagulopathy or on anticoagulants).
• • Who have Allergy or sensitivity to study medications.
• • Who have anatomical abnormalities or localized infection.
• • Who have history of chronic pain or on regular opioids use.
• • Who are unable to comprehend or unable to use the verbal rating pain scoring system,
• • Failed spinal anesthesia or conversion to general anesthesia after spinal anesthesia.