Ali Sakr Esa Wael, Hamadnalla Hassan, Cohen Barak, Soliman Loran M, Kelava Marta, Khoshknabi Dilara, Raza Syed, Elsharkawy Hesham
Department of General Anesthesia, Cleveland Clinic, Cleveland, Ohio, USA.
Department of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Saudi J Anaesth. 2020 Jul-Sep;14(3):406-408. doi: 10.4103/sja.SJA_796_19. Epub 2020 May 30.
The quadratus lumborum (QL) block provides analgesia to the abdominal wall while sparing the side effects of neuraxial blocks. We describe a case series of eight patients treated with a continuous infusion of local anesthetic via bilateral posterior QL catheters infusion block for analgesia after abdominal surgeries. We found that the median duration of the procedure was 26 min and the median opioid consumption over the first postoperative 72 h was 110 mg of morphine equivalents. The bilateral continuous posterior QL block is a feasible analgesic intervention and can be considered as a component of multimodal analgesic pathways.
腰方肌（QL）阻滞可为腹壁提供镇痛效果，同时避免神经轴阻滞的副作用。我们描述了一个病例系列，八名患者在腹部手术后通过双侧腰方肌后入路导管持续输注局部麻醉药进行镇痛。我们发现，该操作的中位持续时间为26分钟，术后72小时内阿片类药物的中位消耗量为110毫克吗啡当量。双侧腰方肌后入路持续阻滞是一种可行的镇痛干预措施，可被视为多模式镇痛途径的一个组成部分。
